HomeMy WebLinkAbout0020063-Plumbing CITY OF OSHKOSH N° 20063
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGS SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /�IGI�!Y Lo PLAN NO.
OWNER 1^ /fC/7
DESIGNER
1
USE /NATURE OF WORK Pe tZ. 4/4.47
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
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
4 WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
ay '''12 FEES: Valuation Permit Fee Paid Park Dedication
ISSUED BY Date tr `.2/ 71 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE e DA )4 19
AGENT /OWNER TE
ADDRESS
TELEPHONE
7 PLID9ING PERMIT APPLICATION
ADDRESS P DATE �/9 -Q
OWNER i L y_ PERMIT�� -"Oa
i PLUMBER et) d,�5
NATURE OF WORK 1 1
NEW RELAY REPAIR INTERIOR
SAN SEW
WATER
SEW a Bathtub Catch Basin
W Lavato Grease Trap
INSPECTION DATE Wl Toilet Sum. Pura.
INSPECTION DATE Kit. Sink Local Waste
A
j z- of iii Sink(other) Site Drain
�r 1111 Shower Laundry Stand Pipe
ra Floor Drai Laundr Tra
S'.�g ^!i0 11111 Dis.osal Wat. Softner
Dishwasher D. Fountain
NE Water Heater Ejector
inals Future outlets
...._4:E3calxazzitzi ;ix,
.tea. 3 om W rr
1
i i 3
V'•latio• notes on the reverse side
�a r l• Ll n Fl 1� 1�