HomeMy WebLinkAboutPlumbing (interior) CITY OF OSHKOSH N2 09524
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS %a / / efr 4'1/ / / PLAN NO.
OWNER Za , v J !G
DESIGNER
USE /NATURE OF WORK / ! - ._� ±w—_- o t / i �i 44. /
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 & 74
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
C FDr SP Ur Storm Sewer
L T b
1_ Sink ject SS Water
Other / " % %44 ."5".%.444,
FEES: Valuation $ Permit Fee Paid $ Park Dedication $
ISSUED BY LiI ../"�2..- -� Date 2 % f Final /O.P.
In the performance of this w% k I agr to p• work pursuant to „rules governing the described construction.
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SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PL c NG 'ERMIT APPLICATION
ADDRESS Os / / ./..e ..a DATE -� PERMIT# 4/"
OWNER fs '3INE PLUMBER ���
NATURE OF WORK /4,, S P
I
NEW RELAY REPAIR INTERIOR
SAN SEW III #
WATER. _2, Bathtub ( Catch Basin
STORM SEW .. Lavatory I) Grease Trap
2Toilet 11 ) Sump Pump
II
INSPECTION DATE INSPECTION DATE / Kit. Sink ( Local Waste
[ Sink(other) Site Drain
V 6 e'/ykj Shower / Laundry Stand Pipe /
d / Floor Drain Laundry Tray
9 li /ei �jf- " Disposal 1 Wat. Softner
�� tve'ah Dishwasher D. Fountain I �' 3I ho, LT c/� / Water Heater
� �CL Urinals Ejector
J ��
I, / Future outlets
..3 (,,.. .. ,.. › .., _,...‘k -- V _ _ I
W r /(4 v
r** Violation notes on the reverse-'OT"
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