HomeMy WebLinkAbout0025908-Plumbing (interor & laterals) CITY OF OSHKOSH N° 25908
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG ,tt] SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS °2 /6 PLAN NO.
OWNER u3/C91'" e..,,,,._,—/
DESIGNER
USE /NATURE OF WORK 5- 1� p b� L -0-"
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 itao. i...z"
C.,,C
BT i WH Disp WSoft CBasin
y Lav Sh DW DF San. Sewer (6 vi C
Z WC FDr SP Ur Storm Sewer
Sink LTub E'ect SS 4 Water C
Other fI CA-J l
3�"� 6 r
d 8 0 0 f
FEES: Valuation Permit Fee Paid Park Dedication
ISSUED BY Date 70 P 9 Final /O.P.
In the performance t work I agree to 0 all work pursuant to rules governing the described construction.
SIGNATURE %Z
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLUMING PERMIT APPLICATION
ADDRESS /..6 C J r i DATE /0 PERMIT# 47
OWNER a -c.oc PLUMBER 7 Q
NATURE OF WORK /0 --t.e-, E F
NEW RELAY REPAIR INTERIOR
SAN SEW I H7L1C WATER e u_ Bathtub Catch Basin
STORM SEW 7- Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE P Kit. Sink Local Waste
Sink(other) Site Drain
R 7 -2 1 g 2 Shower 1 Laundry Stand Pipe
Floor Drain Laundry Tray
a 3 1 f Disposal Wat. Softner
P Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
J** Violation notes on the reverse side(