HomeMy WebLinkAbout0020547-Plumbing (interior) CITY OF OSHKOSH N° 20547
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS ?d C PLAN NO.
OWNER K z__--
DESIGNER �y
USE /NATURE OF WORK a .....e..........., eft
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 —Crate— f 47
5 BT WH 0 Disp WSoft CBasin
Lav Sh (r DW DF San. Sewer
7 WC FDr SP Ur Storm Sewer
Sink A.CtCL). Eject SS Water
Other
po.a� .200.6 o
FEES: Valuation Permit Fee Paid Park Dedication
ISSUED BY C x Date 9 -gb Final /O.P. /2 _17 _7U
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE sLc#. _s i ;,6 -?o
AGENT /OWNER DATE
ADDRESS C SCE 7) A/ "7 j /9/9 7 3 0 -a,Lo<
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS /tea C -f DATE 9 c." p° -2C3
p /`/e% PE RMI T�k
OWNER 0� Z _-�`c PLUMBER S �y-0 -'v
NATURE OF WORK /U ._-t, 7_,-,..-22
NEW RELAY REPAIR INTERIOR
SAN SEW
WATER S Bathtub Catch Basin
STORM SEW Lavatory Grease Trap
g,Toilet Sump Pump
INSPECTION DATE INSPECTION DATE g Kit. Sink
Local Waste
617,1//(jf C, 0'i' 2 7---70 Sink(other) Site Drain
Shower Laundry Stand Pipe
q& oy 9A? 70 -2 Floor Drain Laundry Tray
Disposal Wat. Softner
2 Dishwasher D. Fountain
O/f Water Heater Ejector
fg C Urinals Future outlets
r Y' i G 4 -PI--4 6 lD93366&
r IC��X cis d0 S S
3 ti OF).-0 1). i it -2,5- me ,5, ,41 9a 969x9
t Violation not o� n the reverse
side RA ocx� 0