HomeMy WebLinkAbout0014735-Plumbing (interior) CITY OF OSHKOSH
N2 14735
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG1 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS e-,2021 Cs't/ S'O.1 PLAN NO.
OWNER a/4/n to
DESIGNER
USE /NATURE OF WORK /14 L ,,,cd c= i /I/l /2%�'
J 4
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 .0 �4
BT WH Disp WSoft CBasin
2 Lav Sh DW DF San. Sewer
2-- -WC i FDr SP Ur Storm Sewer
Sink LTu Eject SS Water
Other
7r X
FEES: Valuation II Permit Fee Paid 5 Park Dedication
ISSUED BY 1.- Date 7 ',,pe. ti
Final /O.P. �j /%2t'��
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE GL 2,7 1-4(—,s7
�J
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLI ON n�
ADDRESS. /72/ DATE 1o d7 i PERMIT*
OWNER 0 s 4 „id PLUMBER ���s
NATURE OF WORK €i ,51j/
NEW RELAY REPAIR INTERIOR
SAN SEW
WATER Bathtub 1I Catch Basin
WWI WI Lavatory j Grease Trap
Toilet il 1 1 Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink 4 Local Waste
Sink(other) Site Drain
a. 6/3/e Shower Laundry Stand Pipe 1
Floor Drain I Laundry Tray J
(F Disposal 1 Wat. Softaer
S! Dishwasher I D. Fountain
Water Heater I Ejector
.Urinals Future outlets
le' Oeb I** Violation notes on the reverse sides