HomeMy WebLinkAbout0025175-Plumbing (interior) CITY OF OSHKOSH N 25175
L' PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG XJ SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /,',5-0 PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK N -%Q`-' S F j 2,,,-,"
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 e-• S
2-- 7- WH Disp WSoft CBasin t�er---
Lav 3 Sh f DW DF San. Sewer
S WC FDr Z SP Ur Storm Sewer
Sink _r LTub l Eject S Water
Other S -ow A ee,) ,,o-.e�
1i a- 18
FEES: Valuation 4 S-0°, 0 0 Permit Fee Paid Park Dedication 9 a i
cation
ISSUED BY 6,_s gt-ce Date 9- S'r 9/ Final /O.P. 7-a Y
In the performance of t work I ee to perform all work pursuant to rules governing the described construction.
1 a 9 9
4/ SIGNATURE 0 I i fl
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS /7 GJLc -S DATE 3 7 9/ PERMIT# 7S�
OWNER 0 -S
a
v PLUMBER _La.- _C
NATURE OF WORK S i' e 4z z
NEW RELAY REPAIR INTERIOR
SAN SEW
WATER 01111110 0 2 -Bathtub(/' Catch Basin
STORM SEW Lavatof -Grease Trap
5' Sump Pump /t
INSPECTION DATE INSPECTION DATE Kit. Sink/ III1Local Waste
5" 2 Sink(other)/t Site Drain
1 n Shower Laundry Stand Pipe
k _3 I Floor Drai f Laundry Tray/
Q I- 6 /O -9/ Disposal/ Wat. Softner
1 l Dishwasher/ D. Fountain
Water Heater// Ejector
Urinals Future outlets
1) /yf 6 kir, l,1 e. f', p.�.T
Sa�,tyn-- Lc).4. S 4 r7 9- a r U
Vi•la ion notes on reverse side C+� .)1.
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