HomeMy WebLinkAboutPlumbing (interior) CITY OF OSHKOSH N2 01206
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG j% SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / e:...,- ,,- /7 r // 06,
PLAN NO.
OWNER r ,, Ii 0 , lam
DESIGNER
USE /NATURE OF WORK ` .4 , ..0 i� , ..0-
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
z - ' S'1/
/ BT WH Disp WSoft CBasin
Lav _L Sh DW DF San. Sewer
3 WC FDr 4_ SP Ur Storm Sewer
Sink _L L1 - Eject SS Water
Other
0
FEES: Valuation $ 1/0DO
Permit Fee Paid $ ���- Park Dedication $
ISSUED BY �� -�`�� Date 9 (5 - 7 Final /O.P. '. - 1 6 - ( 4 ,
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
/
SIGNATURE �.. _ ! ��� _ �
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION 0/D 64
PLUMBER /pti,- PL1.Q 47 ._ s' DATE 4/��
NAME OF OWNER /< ;:,,c-v1-erCA /N_ ADDRESS AC- </e--- 7
NEW 4ZS r- 3 .:1 '
SAN. WATER STORM RELAY SAN. WATER STORM
Main to Curb
Curb to Bldg.
- Main to Curb
Elect. Pumps Curb to Bldg.
Septic Tanks Repair
NEW REP. NEW REP. ,
. NEW REP.
Bath Tub Gar. Disposal
Wash Basin Catch Basin
Water Closet Dishwasher _ Conductors
Sink Laundramats _ Grease C.B.
Water Softener Sump Pump
Water Heater San. Bubblers
Shower Bath . Bar Wastes
U rinals Range Boiler
Floor Drain Dental Cuspidors
Future Outlets