HomeMy WebLinkAbout0024815-Plumbing (dishwasher) CITY OF OSHKOSH N° 24815
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
/Z /
ADDRESS PLAN NO.
OWNER O c U / / /
DESIGNER
/
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 P 4 G
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 $ P ermit Fee Paid $ ' ° d Park Dedication $
C_- ISSUED BY � Date g" ---/ •" - 9/ Final /O.P. °i "%/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE / / 4AGENTJOWNER DATE
ADDRESS ( 26 0)4,1/4C1-5 � ' ) _ CL-re i 3VC 2 -.t = 4
TELEPHONE #
1
PLUMBING PERMIT APPLICATION
/8 /!e b OksflD c--s1 ` DATE Z / /
ADDRESS / PERMIT# z K 9' /S �
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OWNER JI A C4( re 4 - 0 PLUMBER X1 k \ LT 2,L —
NATURE OF WORK P ai t a e-e 1:7 i Si-1 i,, SN e/Z-
NEW RELAY REPAIR INTERIOR
SAN SEW 1, # #
WATER Bathtub Catch Basin
STORM SEW 1 Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Sink(other) Site Drain
s--- -2i-,./ Shower Laundry Stand Pipe
Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
i
t** Violation notes on the reverse side'