HomeMy WebLinkAboutPlumbing (interior) CITY OF OSHKOSH N2 21708
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG IX SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /6 / 7 71/ /J/'p14 / (/ PLAN NO.
OWNER /e/ •i //G %C.rtl j
DESIGNER
USE /NATURE OF WORK / l ; 4 // / �,�! _ / /
J S �
1
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 El Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR MA,, / 4 I I
- BT - WH Disp WSoft CBasin
3 Lav _L Sh DW DF San. Sewer
WC - FDr / SP Ur Storm Sewer
- Sink LTub Eject SS Water
Other / " At/
w
oy
FEES: Valuation $ Ga Permit Fee Paid $ t / 6 Park Dedication $
ISSUED BY � Date // -_2 Final /O.P. i -, 3 -
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /7 .-- C9 .--- ` Q Q
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS /6/ DATE // /1"� PERMIT# i-2 /7t')
L
OWNER ,, ) PLUMBER
f.- /Z
NATURE OF WORK �V.Q --4 S F
NEW RELAY REPAIR INTERIOR
SAN SEW # #
WATER / Bathtub `/ Catch Basin
STORM SEW, 3 Lavatory /// Grease Trap
Toilet /1/ / Sump Pump /
INSPECTION DATE INSPECTION DATE / Kit. Sink / Local Waste
7 Sink(other) Site Drain
- 'ca`/,,, ` ' i al/ I y /y t` / Shower O / Laundry Stand Pipe /f,
ik S _ U y_ / ?Ii y/cJO / Floor Drain / Laundry Tray /
/ Disposal / Wat. Softner
S — 3 — 9/ / Dishwasher / D. Fountain
/ Water Heater Ejector
Urinals Future outlets
/7
ifi (I) Fr- ., .. oil 6 -,S-9/
t** Violation notes on the reverse sidel ( ) L7 /1«J c,,._ "/Z •