HomeMy WebLinkAbout0020065-Plumbing (interior) CITY OF OSHKOSH N° 20065
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG PZ1 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /57.5 fr."2/7e PLAN NO.
OWNER G�
DESIGNER
USE /NATURE OF WORK ��i� 2 �taG+
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 1��i L mil'
8' BT WH Disp WSoft CBasin
Lav Sh tr DW DF San. Sewer
t r WC FDr SP Ur Storm Sewer
k? Sink Grub Eject SS Water
Other
C3 7 4( a „X
FEES: Valuation /C115-67-;31" Permit Fee Paid 0 Z" 'N Park Dedication
ISSUED BY •2f���/ Date e p fa Final/O.P. P /.2 /?6
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR lL�
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLUMBING RMIT
APPLICATION
1-19')() PERMIT�� G`
f5 /?9e �i AsO /�V DATE
ADDRESS
OWNER
Aij I.... PLUMBER 6A/a ��s
NATURE OF WORK lel 2 4.J !r /,v i
NEW RELAY REPAIR INTERIOR
SAN SEW
I br Bathtub Catch Basin
WATER Lavatory Grease Trap
STORM SEW Toilet Sump Pump
te
a
Local Wss
INSPECTION DATE INSPECTION DATE R Kit. Sink Lo Si c a Dan
Sink(other)
'LC 5 4740 Shower Laundry Stand Pipe
Floor Drain Laundry Tray
g Disposal Wat. Softner
D. Fountain
F j, W .g/ g Dishwasher
Water Heater Ejector
Urinals Future outlets
C** Violation notes on the reverse side