HomeMy WebLinkAboutPlumbing (addn to #7812) CITY OF OSHKOSH N2 09502
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /b� �/e �- PLAN NO.
OWNER ,‘)C/1-- E'ir:z,/
DESIGNER
USE /NATURE OF WORK C Jd Vk / 11 ei'lov aN4, ` ,74 # d'cW
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 4 /- °?/1-g____
BT WH .4 Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
__k Sink LTub Eject SS Water
Other
Os.- f
FEES: Valuation $ Permit Fee Paid $ Park Dedication $
ISSUED BY -.01-7------- Date _ ,:, Final /O.P. 2 / /sXx
i
In the performance of this ork I ..r- .„- = . / ;II work pursuant to rules governing the described construction.
SIGNATURE ,
AGENT/0 ` , - DATE
ADDRESS
TELEPHONE #
PL ING PERMIT APPLICATION
ADDRESS /‘-5 Zet
/ /ilr 2V/5 DATE _ PERMIT# 2,9
OWNER J4 „e„.4 PLUMBER */
NATURE OF WORK c�_- ✓ s4r e _ - / _ �i :,
NEW RELAY REPAIR INTERIOR
SAN SEW # #
WATER Bathtub Catch Basin
STORM SEW ( Lavato Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
/ Sink(other) (.) Site Drain
Shower Laundry Stand Pipe
1 � � , Floor Drain Laundry Tray
r--?/ Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
f** Violation notes on the reverse side]