HomeMy WebLinkAbout0042507-Plumbing (interior) z/v
CITY OF OSHKOSH
N 42507
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG jf SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS r gy ,1 PLAN NO.
OWNER ff//
DESIGNER
USE/NATURE OF WORK W-5C-
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
I BT f WH Disp WSoft CBasin G
3 Lay �Sh t DW DF San. Sewer
-L WC i FDr _L SP Ur Storm Sewer
Sink _L ab C Eject SS Water
Other
FEES: Valuation Q Permit Fee Paid Park Dedication
ISSUED BY /7 -7/ Date /07 Final /O.P. le" 2 2 -c es
In the performance of this w rk I agree to perform all rk pursuant to rules governing the described construction. 4
SIGNATURE
/71 2 j c lJ
A GENT /OWNER 1 DATE
ADDRESS j a r l 1 J U J j n c� w 2 o5
TELEPHONE
6
sr I INC PE MIT APPLICATION
ADDRESS l i 11 1 `a DATE v T# 42 b 7
OWNER PLUMBE ,.5r4-
NATURE OT WORE /U S
NEW RELAY REPAIR INTERIOR
SAN SEW
W TER Bathtub
Su u Pu u.•
0 A. Laveto
Ejector
..:3 Toilet i Water Softener
INSPECTION DATE INSPECTION DATE 1 .cit. Sink t
Drinkin Q Fountain
?J Sink(other) urinal
0 1 Waterheater Slop Sink
2 Shower /j Grease Trap
17 Floor Drain/ Local Waste
q Laundry Tub Site Drain
6/ V Disposal Laundry Standpipe/
Dishwasher( Catch Basin
V n'
A Ft 7S----
on notes on the reverse side]