HomeMy WebLinkAbout0068244-Plumbing (interior) a CITY OF OSHKOSH N (vV�
OSH'OSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
b Address 7(49 0 r i S O wner j 1 7� C61^41/
„ Create Date
..ontractor JIM'S PLUMBING Category 1 Plan
Bathtub r`/ Shower 1 / Ejector /Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain ,' f / Water Softner Drink Ftn Sery Sink Soda Disp
Lavatory Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker
Toilet Lndry Stndp / / Clothes Wshr Ice Chest FIr/Wst Sink Int Grease Trap
Res. Sink ,, + Disposal / / Bidet Exam Sink Catch Basin Ext Grease Trap
Bar Sink Dishwasher // Beer Tap Sculry Sink Wash Ftn
Water Heater ; ( Sump Pump ✓ / Dent. Oper. Hand Sink Urinal
Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use/Nature Work J-v7
of NSF �� R...,2_
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size Material type # Conn.lype
Sanitary Sewer
(K. G- /1/4 "1/7g
Storm Sewer
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Water Service
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Valuation T r lJ V v v Plan Approval Permit Fees
Issued By Date
Li Permit Voided
In the performan - • ! his work, I agree to all wo pursuant to rules governing the described construction.
Signature / Date /Q /Z Z g?
t Agent/Owner
Address -61.6 GREEN ILLE DRIVE GREENVILLE WI 54942 - 0
Telephone Number 57 -5758 OR 757 -6