HomeMy WebLinkAbout0020066-Plumbing (interior) CITY OF OSHKOSH N°_ 20066
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG0 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS T, /z 1 PLAN NO.
OWNER ca Z F'rC /1
DESIGNER
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USE /NATURE OF WORK /f.i cJ 4-6 7 ra
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
fJ BT _t WH 'Disp WSoft CBasin
rI Lav Sh 1DW DF San. Sewer
WC 44 FDr SP Ur Storm Sewer
Sink 2 LTttb Eject SS Water
Other
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FEES: Valuation fP Permit Fee Paid ,t0V< Q Park Dedication
ISSUED BY
Date e---.2/-7-° ti
Final /O.P. -1- 90
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURF f; 2....1 il 42
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS ,;f1. /7/ DATE `L- /f PERMIT# ZS A
OWNER .„,_44 e c ..Pr L ��a�
PLUMBER
S
NATURE OF WORK `'L'o r P 1
NEW RELAY REPAIR INTERIOR
SAN SEW JBathtub
WATER
STORM SEW Catch Basin
2 Lavatory Grease Trap
INSPECTION DATE INSPECTION DATE k Toilet Sump Pump
8 Kit. Sink Local Waste
z d (s X0 Sink(other) Site Drain
Shower 2 Laundry Stand Pipe
(16 /J ;?.Floor Drain Laundry Tray
`A •1ge e,< 7 p, Disposal
Wat. Softner
Dishwasher D. Fountain
fI r "T` !r? Pi 7`7-0 Water Heater
Ejector
_Urinals Future outlets
c c 3 q4, 6 e
t D.. u, 7 c T y 6, y G
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2 Viol /notes on the reverse sidel 0