HomeMy WebLinkAbout0015475-Plumbing (interior) CITY OF OSHKOSH N9 15475
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /C)( 0 3- V J -07 62.-27 e t--.271,‘. PLAN NO.
OWNER 4� 4 e°/-e" x-S
DESIGNER
USE /NATURE OF WORK i ,t.del /i..
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
J
t
PLUMB NG CONTRACTOR 7f/a-AS 1
BT 1 7 WH 4 Disp WSoft CBasin
o Lay 7 DW DF San. Sewer
7 WC FDr SP Ur Storm Sewer
Sink Lh Eject SS Water
Other
ys 76
2
FEES: Valuation
Permit Fee Paid /c5 Park Dedication
ISSUED BY G7r Date 7 /3- C-/ Final /O.P. 1 cf
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE GP-4 9--/3 o Y
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS /Of d 3 U 7 E iJ 1 F41 Cf g'7. a ef PERMIT V7 s
OWNER G��'ICX/ f S f PLUMBER "eel./
NATURE OF WORK /014/ q
f44.t l f
NEW RELAY REPAIR INTERIOR
SAN SEW 1
WATER 47/Bathtub
Catch Basin
STORM SEW Lavatory Grease Trap
gToilet Sump Pump
INSPECTION DATE INSPECTION DATE q Kit Sink Local Waste
Sink(other) Site Drain
v(.
C 6®-,.e -Q v �/o y'S f'• Shower .L Laundry Stand pipe
f NO //z /sf Drain Laundry Tray
T Disposal Wat. Softner
f Co cS, 6') /f /j' ./Dishwasher D. Fountain
1 4( Water Heater Ejector'
ET
Urinals Future outlets
1** Violation notes on reverse side