HomeMy WebLinkAbout0022642-Plumbing CITY OF OSHKOSH N° 22642
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG 21, SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 0 GiSQ� PLAN NO.
OWNER 22 /V
DESIGNER
1
USE /NATURE OF WORK
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 KCZ,/, d
--f BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation w Permit Fee Paid M O7) Park Dedication
ISSUED BY Z ED Date L IA /p/ Final /O.P. a 3 9
In the performance of this work I agree to perform all work pursuant to rules governing the described constr tion.
SIGNATURE l C G/ /"4'/17,0 (p4/) GS 3 `'"l/PC 3 /S 9/
AGENT /OWNER DATE
ADDRESS 73a O
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS `f ..C7- DATE 3/ y/ fit •PERMIT# O 2 (o c2-
OWNER PLUMBER
NATURE OF WORK II 2�� f', (J `b` ILA/
NEW REPAIR INTERIOR
SAN SEW
WATER Bathtub Catch Basin
STORM SEW Y.-Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
0 CZ_ei e S/'-2-5Y Sink(other) Site Drain
Shower Laundry Stand Pipe
Floor Drain Laundry Tray
I j J Disposal Wat. Softner
3- 77- Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
r ed L& P /I xs
C
f** Violation notes on the reverse side! n' 1 6 (-_,,,Lif