HomeMy WebLinkAbout0009396-Plumbing (lav & water heater) CITY OF OSHKOSH No 09396
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG c ii---SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /.2 a/ X PLAN NO.
OWNER l/' /1/i &l
DESIGNER
USE /NATURE OF WORK g — -- : - _ _ /_ f _
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
BT WH Disp WSoft CBasin
4 Lav Sh _ DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
/
FEES: Valuation $ !rb Permit Fee Paid $ O C------ Park Dedication $
ISSUED BY i4 Date , Final /O.P. SX
i
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
1
SIGNATURE (// / /�J/1 ' / �
AGE /O NER ✓ 7 ? v
DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS 42 � , -/ - DATE -2� 6 PERMIT# D9,77:4""
OWNER �e V7v/C �jjq„ 6 + PLUMBER
NATURE OF WORK /4.17 �
NEW RELAY REPAIR INTERIOR
SAN SEW __—
W
ATER # AE SEW - -- � Bathtub Catch Basin
— % /Y avator Grease Trap
(� Toilet Sum. Pum.
INSPECTION DATE
INSPECTION DATE - Kit. Sink
Local Waste
r E - Sink(other) Site Drain
J 1 2-4/. - Shower Laundry Stand Pipe
Floor Drain Laundr Tra
- Dis.osal Wat. Softner
IRE Dishwasher D. Fountain
Water Heater Ejector
1115 inals
Future outlets
** Violation notes on the reverse side