HomeMy WebLinkAboutPlumbing (interior) CITY OF OSHKOSH No 089
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS— Ra.( tej/g,v7241 // � PLAN NO.
OWNER E �� �� «<
DESIGNER
USE /NATURE OF WORK S.,
�� isi .!
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 P Circuits
PLUMBING CONTRACTOR R ' /J - f
BT WH 4_ Dis
Q p — WSoft CBasin
-? Lav __/__ — DF er,p
3 y DW / San. Sewer '� ® l�G {
WC _L FDr L SP Ur
Storm Sewer
L. Sink LTub j SS t
/,-- E ect Water 7 ���
Other �
'alt
i--3 �/ 1- /fr „
FEES: Valuation $ _ eft ✓
Permit Fee Pa $ b b Park Dedication $
ISSUED BY Date /2?
v 4a" Final /O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
444._da
AG WNER
DATE
ADDRESS
TELEPHONE #
PLUMBING RMIT APPLICATIO
ADDRESS /'‘ 3 r / 1 t .ir4.. -. i.�. ,/r j! DATE ( Z?
� e PERMIT��
OWNER c /fl \ v -� � ��-
PLUMBER 64. ov ir -
NATURE OF WORK e, _ J
NEW RELAY REPAIR INTERIOR
SAN SEW ` 1
WATER # #
=� Bathtub - catch Basin
Lavato - Grease Trap
INSPECTION DATE INSPECTION DATE L Toilet W Sum• Puy, • t
Kit. Sink rLocal Waste
�/ �8� Sink(other Site Drain
`Lf ,"v Shower Laundry Stand Pipe
Floor Drain Laundry Tray
�� tr/(G / Disposal Wat. Softner
1" ( Dishwashers D. Fountain
Water Heater Ejector
/0 ,Z c *--$- Urinals Future outlets
Ati i r a rret
comm . +s�+� the reve se - ide
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7 1 l_
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