HomeMy WebLinkAbout0015476-Plumbing (interior) (410-.) _CITY OF OSHKOSH N2 15476
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG X SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS ri 6 PLAN NO.
OWNER .,C0 Z Ff C'4I "lGL.c--
DESIGNER
USE /NATURE OF WORK
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
PLUMBING CONTRACTOR i 41 I_
BT WH Disp WSoft CBasin
r Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink 4 LTA Eject SS Water
Other
asp FEES: Valuation Permit Fee Paid Park Dedication
ISSUED BY L �j Date Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 41 ��7°6 l f/3 J
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS 1/1 �.3 �5 1 Ci 1'y t'v t% DATE j PERMIT /C----477247 OWNER X7/1,1 f
9 T� c -=s-/ PLUMBER e1/le
NATURE OF WORK 14'4',..t.,./ 14e...14/7
NEW RELAY REPAIR INTERIOR
SAN SEW
WATER Bathtub "Catch Basin
STORM SEW a 'Lavatory Grease Trap
`j Toilet Sump Pump
INSPECTION DATE INSPECTION DATE 61 Kit Sink Local Waste
Sink(other) Site Drain
Shower Laundry Stand pipe
�,1� �OZ 5/ Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
4 Water Heater Ejector'
1 _Urinals Future outlets
I** Violation notes on reverse side'