HomeMy WebLinkAbout0007708-Plumbing (interior) CITY OF OSHKOSH No 07708
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG L SIGN ZONING FLOOD PLAIN HEIGHT
Q
ADDRESS 6 PLAN NO.
OWNER ,1L 4
DESIGNER
USE /NATURE OF WORK I Z1.4. A
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 Tptc. O
BT 4 WH 4 Disp WSoft CBasin
-Lav Sh DW DF San. Sewer
EW C FDr 4 SP Ur Storm Sewer
L Sink LTub Eject SS Water
Other /Gtil r t Z may p r
FEES: Valuation 6 Permit Fee Paid 9 Park Dedication
ISSUED BY 0‹."...3 Date it. Final /O.P. 4 8
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 9 4 5 cf: tiJ 4zceou+ ski M OIL kl 4- /9' 11
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS C DATE /AA4P- PERMIT 07
OWNER c_c >�3�f
PLUMBER fn
NATURE OF WORK A
NEW RELAY REPAIR INTERIOR
SAN SEW
WATER
STORM SEW 1111•1111111111111111111
°athtub 1 Catch Basin
PiLavator Grease Tra.
Toilet -11 Sump Pump
INSPECTION DATE
INSPECTION DATE n
r Local Waste
.4 1 '�r /a48 _Sink(other) Site Drain
_Shower Laundry Stand pipe
"'Floor Drain r Laundry Tray
3 //C 3 /e$ Disposal
Wat. So tner
Dishwasher D. Fountain
G 7 e 1 Ejector
Future outlets
Violation notes on reverse side