HomeMy WebLinkAbout0003667-Plumbing (dishwasher & sinks) CITY OF OSHKOSH No 03667
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS - / 4 % / L. _ PLAN NO
OWNER 1.a J 4 V e< Z ,",.
DESIGNER
USE /NATURE OF WORK �, i,„,
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 _ _ - ,
- BT _ WH Disp _ WSoft CBasin
- Lav _ Sh L. DW DF San. Sewer
__WC — FDr SP Ur Storm Sewer
Sink // LT b Eject S Water
Other /_ /;.�C, 44/40 / — .1A, A
`may—_ �►
FEES: Valuation $ l O) Permit Fee Paid $ 4 Park Dedication $
ISSUED BY �.�'V Date " / Final /O.P. /2///2
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �� / �/ •
i / AGENT /OWNER DATE
ADDRESS
TELEPHONE #
r -, PLUMBING PERMIT APPLICATION
PLUMBER i /7/2it , 0,3a7
DATE / „„_• w
NAME OF OWNER - .e.•
_ ADDRESS ,_ 1
#64 0 f /2 /' /Fr t . / o � -. �
NEW (AJ �r c nP -- ;'r- e- .3 WATER STORM RELAY SAN. WATER STORM
Main to Curb
Curb to Bld:. Main to Curb
Elect. Pum.s = Curb to Bld_.
Elect. Tanks - =
NEW REP. NEW REP.
NEW REP.
Bath Tub Gar. Dis•osal
Wash Basin Dishwasher Catch Basin
Water Closet Laundramats Conductors
Sink Water Softener Grease C.B.
Water Heater San. Bubblers Sum. P
Shower Bath Urinals Bar Wastes
Floor Drain Dental Cus•idors Ran:e Boiler
Future Outlets