HomeMy WebLinkAbout0017724-Plumbing (bathroom remodel) CITY OF OSHKOSH N9 17724
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG /0 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /Q..V �`p7 ry PLAN NO.
OWNER j< .r
DESIGNER
USE /NATURE OF WORK r" G a e
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
4 BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
JL WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
po
FEES: Valuation Permit Fee Paid V7 Park Dedication
ISSUED BY Date Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE t
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS /'IC561 DATE PERMIT# l77zK
OWNER A i At i PLUMBER (....5 4,
NATURE OF WORK 11 4: ll�G7ilPtiLit�4 C
NEW RELAY REPAIR INTERIOR
SAN SEW
WATER Bathtub Catch Basin
STORM SEW, 1 Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE C Kit. Sink Local Waste
1 v Sink(other) Site Drain
u
Shower Laundry Stand Pipe
r//6/9 Q
Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
t** Violation notes on the reverse side]