HomeMy WebLinkAboutPlumbing (interior) CITY OF OSHKOSH N2 18767
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG „R' SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /b d5 4 /1 PLAN NO.
OWNER ::-;-fr.- 4 4L4'4-e-"S
DESIGNER
,
USE /NATURE OF WORK - _ _ _ AAl .
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 r r + /LL- P��.. --
( BT _L WH 7 _L Disp WSoft CBasin
Lav 4_ Sh DW DF San. Sewer
3 WC FDr SP Ur Storm Sewer
._/_ Sink A_ LTals, Eject SS Water
Other
lc OD
FEES: Valuation $$ 3/ Permit Fee Paid $ d° Park Dedication $ �t
ISSUED BY , ..-- � —OZ /� Date t e -Po Final /O.P. ? - '90
In the performance of this work I agree to perform all work pursuan::o rules governing the described construction.
SIGNATURE 1 r �j / 6 ff / 6 •- 6' — ��'
/� AGENT /OWNER DATE
t.
ADDRESS I /' foa fel /7", AP,,,/, / ' /y/J 7.5 6 3
j / TELEPHONE #
/ PLUMBING PERMIT APPLICATION
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ADDRESS 6 S ' 4itt.QP DATE . 0/ PERMIT# /�
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OWNER l !- (f� -L[.0 /�tY% J PLUMBER 41
ii : se — it ..'.,,,_/�.� _
NATURE OF WORK 1 -, U . ,,8 - '7100.0 k
NEW RELAY REPAIR INTERIOR
SAN SEW # #
WATER / Bathtub w Lak, Catch Basin
STORM SEW 3 Lavatory/4k Grease Trap
Mallet /1' r Sump Pump
INSPECTION DATE INSPECTION DATE / Kit. Sink/ Local Waste
Sink(other) yt Site Drain
7- e —� -GC--( - .— -V V`. / Shower / / Laundry Stand Pipe
C
/ Floor DrainVf , Laundry Tray/
_ . / Disposal / Wat. Softner
Dishwasher' D. Fountain
/ ,Water Heater/ Ejector
Urinals Future outlets
•
r** Violation notes on the reverse side]