HomeMy WebLinkAbout0020549-Plumbing (interior) CITY OF OSHKOSH N°_ 20549
L' PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGA6 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 20 PLAN NO
6� o
OWNER 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 114 de
A BT r WH g Disp WSoft CBasin
Q Sh _Z DW DF San. Sewer
g le SP Ur Storm Sewer
Sink _L LTtrlTof ,C t it) Eject SS Water
Other
FEES: Valuation /..&f 0 Permit Fee Paid e d Park Dedication
ISSUED BY Cep Date 2 6 6D Final /O.P. 2 C '7/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE hp'LLr3- Je.L.e..% 'a 6 f
AGENT /OWNER DATE
ADDRESS SAC' 71 /36...,e._/9-7r-k.../4 7 30 —04
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS
/20 C j d., DATE 2 °7 C 9v PERMIT# 0 5� 7
Orr PLUMBER
NATURE OF WORK /V
n� Q
NEW RELAY REPAIR INTERIOR
SAN SEW
WATER Z Bathtub Catch Basin
STORM SEW, Lavatory Grease Trap
2' Toilet Sump Pump
INSPECTION DATE INSPECTION DATE 2 Sink Local Waste
(A6- -O t i0//1/,70 Sink(other) Site Drain
Shower Laundry Stand Pipe J
kr. O fl r 1 A "dr.=
.j, /ti W L r Floor Drain
Laundry Tray
g Disposal Wat. Softner
2' Dishwasher D. Fountain
Water Heater Ejector
a 9/ Urinals Future outlets
R
JP 7aTit i °.jai.` I
1** Vio tio r notes on ewers side'