HomeMy WebLinkAboutPlumbing (interior) CITY OF OSHKOSH N9 09391
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG(l SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS A(‘( ( / /e. --144 L 1 4p / ' PLAN NO.
OWNER X":4/'L -t 11
DESIGNER �/
USE /NATURE OF WORK /'uif�c/ 0 crc.,7 -
. 4
4
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 ____1 ✓�
BT WH _4 Disp WSoft CBasin
a. Lav Sh .2 DW DF San. Sewer
I t. WC FDr SP Ur Storm Sewer
Sink 1_ LTub Eject SS Water
' _
Other '— i _
FEES: Valuation $ �5-� Permit Fee Paid $ U Park Dedication $
ISSUED BY Date � 7 Final /O.P. 9/ T /fg
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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9 • ...0
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
/ 7 PLUMB NG PERMIT APPLICATION
ADDRESS //4/( // P.Jrr - 7.1; DATE (5/‘)/4 PERMITS/ 6
OWNER 4O 4.,i1 7 PLUMBER
NATURE OF WORK _fre p��/ _S
NEW RELAY REPAIR INTERIOR
SAN SEW # /k
WATER Bathtub iirli Catch Basin
STORM SEW, 0 Lavatory 1.44, Grease Trap
/
I i Sump Pump l �
INSPECTION DATE INSPECTION DATE
/Toilet ' (
Kit. Sink , Local Waste
Sink(other) Site Drain
Shower ' / Laundry Stand Pipe
�,{ r (/.5 gd J Floor Drain
/ Disposal / Laundry Tra /
"`� / � Wat. Softner
/ Dishwasher ( D. Fountain
7 Water Heater/ Ejector
13 1__--4----) Urinals Future outlets
1** Violation not s on the reverse side