HomeMy WebLinkAboutPlumbing (addn to #14765) 41) CITY OF OSHKOSH N° 16541
- PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /(00 i( /1 J //� PLAN NO.
OWNER f eL'
DESIGNER
USE /NATURE OF WORK - u _ L../ de... A _ .- .4- - �. le •
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 _t_ /_�i���
BT WH Disp WSoft CBasin
Lav _Z Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other iite'-14' / 1 7 (J U ,�rTl - 4i'. ' s p e a � / Lie( ;7 ///
oa
FEES: Valuation $ � Permit Fee Paid $ >> C d Park Dedication $
//
ISSUED BY Date •& "O Final /O.P. 11' / a "8j
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
L tiva e SIGNATURE 7;74,0 j..„
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
1 .
/
PLUMBING PERMIT APPLICATION
ADDRESS l 6 /,/�Z -i2ii / DATE // /O `� PERMIT # /K5
OWNER , _ " PLUMBER _._4_42._.f//d,.0(
NATURE OF WORK G4..47 - YI 41:4 , �,
✓ �'^ 4 ,(1 ,4„-,74/ ,l /2Kr
NEW RELAY REPAIR INTERIOR
SAN SEW # # .
WATER Bathtub Catch Basin „
STORM SEW /Lavatory Grease Trap
/Toilet Sump Pump
INSPECTION DATE INSPECTION DATE, Kit Sink Local Waste
1 Sink(other) Site Drain
ht
l`i,,44,,, 6i a0eIZt % / Shower Laundry Stand pipe
J Floor Drain Laundry Tray
F ` /r9 ( ` /he Disposal Wat. Softner
/ �,- d ll Dishwasher D. Fountain
v'Gvv�`S , d Water Heater Ejector'
D` ` - f (re/ r _Urinals Future outlets
** Violation notes on reverse sides