HomeMy WebLinkAbout0020067-Plumbing (interior) CITY OF OSHKOSH N° 20067
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG 0 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /72re.r- AY PLAN NO.
OWNER �Y 'o' v` /e-r 4?:7�„.1" S.
DESIGNER
USE /NATURE OF WORK 4/i /1 r6�ld �T� 7 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
PLUMBING CONTRACTOR —7-44-47%---a--
AY-13T T WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
C WC o 2. 1 2 FDr SP Ur Storm Sewer
Sink Eject SS Water
Other
�/c�-� v --Z/..2 t/
V
FEES: Valuation Permit Fee Paid l-2 va Park Dedication
ISSUED BY c�?� ry Date c --2l p Q Final /O.P. 11' 3 0
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATUR ti b 5 iot
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS lG 4/ DATE is PERMIT#
OWNER r. PLUMBER Air
NATURE OF WORK
NEW RELAY REPAIR INTERIOR
SAN SEW ____M
WATER
S e Lavator 1111 catch Basin
nil
for Grease Trap
INSPECTION DATE INSPECTION Toilet Illi DATE o c►. P Was
(f 4l/� LOCal Waste
s law F 4%,, Sink(other) in Site Drain
i 1111 //s Floor Drain Shower Laundry Stand Pipe
D loor l Wat. Softner
Laundr Tra
r 65 9 Dishwasher
D. Fountain
4iliffiiiisifs.64ft allainnimnimmium
Ejector
C 4., C am.. Future outlets
1,2J 5', /5 "'.S_- Sox 9�
Vi•l! o��n�• on th- reverse -ide �t �"1� F.