HomeMy WebLinkAbout0020545-Plumbing (interior) CITY OF OSHKOSH N9 20545
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG Kr SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /6 O t PLAN NO.
OWNER 6-".. C_ --e-c.,—fr--/e.,..,,,
DESIGNER n
USE /NATURE OF WORK A a
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 S 1 /14-.-f--..e?--,—. 09..........
C BT WH C Disp WSoft CBasin
Lav Sh 7DW DF San. Sewer
a WC ZFDr SP Ur Storm Sewer
Sink lake /Q, C, k) Eject SS Water
Other
FEES: Valuation 3 0 O A 0 0 Permit Fee Paid °2 0 k 6 6 Park Dedication
ISSUED BY (1 --19 C2- Date 9 6 Final /O.P. 3` 1 i
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE JL% —p/G "`j
AGENT /OWNER DATE
ADDRESS .5 c0 7 bc-e ,ri te d. A 2 o 7S
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS •r-
0 l�- c• zr- 0,-1 DATE 9 PERMIT# -5-K-5-- O -5-K-5-- OWNER I Q lr'- t _7_`- 7'`�.'� PLUMBER S c-/- A
NATURE OF WORK A-L2---ci g
NEW RELAY REPAIR INTERIOR
SAN SEW
WATER g Bathtub Catch Basin
STORM SEW g Lavatory Grease Trap
2 Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
1 j S Sink(other) Site Drain
Y Shower Laundry Stand Pipe
,N j i i i/ $'19/ Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
3/7/7/1 Water Heater Ejector
rinals Future outlets
yo_,`` 41 5,07 .3347
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P -23 3 /y' S sr 707e6 3s.2
l Vio tion tes on th _rev rse side'