HomeMy WebLinkAbout0071717-Plumbing (interior) /�,r�� CITY OF OSHKOSH ( II �
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OSH OSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Address S S 1 tk Awl- Owner s x ( - Y / Create Date
Contractor JIM'S PLUMBING Category Plan
Bathtub
,/ Shower // Ejector /Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain 7/ Water Softner Drink Ftn Sery Sink Soda Disp
Lavatory /,t2. Lndry Tray Local Waste Watt St_ Shamp Sink Coffee Maker
Toilet /a.Z, Lndry Stndp // Clothes Wshr Ice Chest FlrlWst Sink Int Grease Trap
Res. Sink // Disposes j Bidet Exam Sink Catch Basin Ext Grease Trap
Bar Sink Disinvasher // Beer Tap Sculry Sink Wash Ftn
Water Heater / / Sump Pump / / Dent Oper. Hand Stnk Urinal
Slte Drain Classrm Sink lab Stnk Plaster Sink Standp Rec
Roof Drain Meal= Sink Sterilizer Surgeons Sink Ice Maker
Use/Nature
•
of Work NSF
t / 0/.1 9y
Size Matenal l Ype 1 Conn. Type
Sanitary Sewer
•
, Storm Sewer
Water Service -
Valuation 5 55 0 Plan Approval Penult Fees
Issued By `u r L
Date
U Pemtd Voided r
In the pecfonnance of this work. I agree to perform all work pursuant to rules ov
9 eT1n9 the described construction.
Signature
-_-- e: / ^, /
Agent/Owner
/'/ 4,-� 6. Date 7 ? — 41 , 9
Address W-6166 GREENVILLE DRIVE GREENV11LE WI 54942 - 0
Telephone Number 757 -5258 OR 757-6