HomeMy WebLinkAbout0010184-Plumbing (correct violations)n CITY OF OSHKOSH Na 10184
` PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG JUX, SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS
�j p �L_ PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft
Foundation
!/v 1-C 114 -rk/
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System
# Rooms # Stories Height _
Class of Const. Occupancy Permit
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
'77jj, _ -
--LBT WH
—Disp
Lav Sh
DW
WC FDr
—SP
Sink LTub
— Eject
Other
Heat Loss
Volts Amps
Circuits
BTU'S
WSoft
CBasin
DF
San. Sewer
Ur
— Storm Sewer
SS
— Water
FEES: Valuation $ Permit Fee Paid $ '� Park Dedication $
ISSUED BY Date Final /O.P.
I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Dq E
n wl !1 \AIwICO
ADDRESS
TELEPHONE #
1� L ING PERMIT
ADDRESS (, ti-! 4CYI'14 -
r .,
OWNER i//�r I'Z s V
NATURE OF WORK
APPLICATIO
DATE Z z PERMIT#
PLUMBER
NFW RELAY REPAIR INTERIOR
SAN SEW
#
#
WATER
Bathtub
Catch Basin
-STORM SEW
Lavatory
Grease Trap
INSPECTION DATE INSPECTION DATE
Toilet
Sum Pump
Kit. Sink
Local Waste
0�
W
Sink(other)
Site Drain
Shower
Laundry Stand Pipe
Floor Drain
Laundry Tray
Disposal
Wat. Softner
Dishwasher
D. Fountain
Water Heater
Elector
nals
Future outlets
** Violation notes on the reverse side