HomeMy WebLinkAboutPlumbing (interior) 4) CITY OF OSHKOSH No 07812
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ja SIGN ❑ ZONING FLOOD PLAIN HEIGHT
AS* s` ,
ADDRESS
�✓!/ ! / 0 / : PLAN NO.
OWNER
DESIGNER /7C1
USE /NATURE OF WORK / . ''r ..1/ / /'mil Z„ /
i
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 i - r'o
WH r ,
a BT
—�— — Disp _ WSoft CBasin
Lav --F- Sh DW DF San. Sewer
j WC -4— FDr SP _ Ur Storm Sewer
T. Sink LTub Eject SS
Water
Other (— 4-4-404.7
FEES: Valuation $ 7 t Permit Fee Paid $ "��
/ Park Dedication $
ISSUED BY
T. _ Date / j
Final /O.P.
In the performance of this work agr a to pe o,- � rk pursuant to rules governing the described construction.
SIGNATURE f _
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #
PL 'vl:ING PERMIT APPLICATIO
ADDRESS .. '_ & - DATE 3 j� PERMIT# o 2(1/2
OWNER d a: PLUMBER f �5�� --
NATURE OF WORK --- c-,,,./ /
NEW RELAY REPAIR - INTERIOR
SAN SEW # #
WATER
TE R
' SEW SR Bathtub Catch Basin
-� - Iffil Lava tor n -- Grease Trap
INSPECTION DATE INSPECTION DATE IINI Toilet rfillili Sum. Pum.
Local Waste
l / / � .�� rSink(other�Jfj bar' Site Drain
, 11 ` I Shower n Laundry Stand Wipe
Floor Drain Laundry Tray
1 2- 761( V Disposal Wat. Softner
/ Dishwasher D. Fountain
j Water Heater j Ejector
Urinals Future outlets
Pc* Violation notes on the reverse side] -