HomeMy WebLinkAbout00230064-Plumbing (interior) CITY OF OSHKOSH N2 20064
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS }2/ i n PLAN NO.
OWNER hen/ 1 e(r" 4
DESIGNER //JJ// 4,7/.
USE /NATURE OF WORK C�C.t.� rj P/ ///2-ZcZ /ia Z-21.-" 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 C(1 '7/
r BT WH g Disp WSoft CBasin
Lav Sh L DW DF San. Sewer
WC Dr SP Ur Storm Sewer
4 Sink -2 Limb. Eject SS Water
Other ow
FEES: Valuation /5 Permit Fee Paid 0 VR Park Dedication
ISSUED BY Date ?r b -21- 7 6 Final /O.P. 9- 021-
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1.--1 (q0
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLUMING PERMIT APPLICATION a
I ,C C PERMIT#
,77 J"� DATE
ADDRESS 4
PLUMBER
OWNER
NATURE OF WORK 0 a
NEW RELAY REPAIR INTERIOR ri
SAN SEW EA
W Bathtub 11111 Catch Basin
WATER Nu Lavator No Grease Trap
SEW Toilet NE Sum. Pum'
INSPECTION DATE INSPECTION DATE
Kit. Sink 111111 Local Waste
Site Drain
Show(rther) gm Laundry Stand Pipe
4/t- MI Shower
Laund Tra
MI Floor Dra Wat. Softner
Dis.osal D. Fountain
Dishwasher D e
Water Heater
_1- 2 7c) Future outlets
�fy o- 7a Z X 797
ecti tea 0.�G {J 6 af Po '3/<
od '7417C•3 coo .a�-
V'•latio' notes on th- r-, erse side