HomeMy WebLinkAbout0016607-Plumbing (correct violations) CITY OF OSHKOSH N° 16607
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG $, SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS c,1/47520? PLAN NO.
OWNER /e0 ` A 'G
L�
DESIGNER •
USE /NATURE OF WORK c 74 l(7)---,--r-c / I /)f, 4 24 f v
n"Y7 7 � rj 7 4 �l
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR e,
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ 6-Q) Permit Fee Paid $ /a Park Dedication $
ISSUED BY Date /2 — ,PP Final /O.P. / - 37
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE , , _
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBI G PERMIT APPLICATION
ADDRESS
5 72 -.5 / � DATE /0 - 3/ - Ff PERMIT # /c 7
OWNER "p37. - 7 ' - f -/- PLUMBER �Z4 %2
NATURE OF WORK may` (747 Y.i
Cd - .
NEW RELAY REPAIR INTERIOR
SAN SEW # #
WATER Bathtub Catch Basin
STORM SEW Lavatory Grease Trap
Toilet . Sump Pump
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste
Sink(other) Site Drain
��- l / 1 / Shower Laundry Stand pipe
/W y /� /, p�D �''�
- S-- cev7`�x`e�' Floor Drain Laundry Tray
/ ` ( h C,1/1c .ch,--. 71 Disposal Wat. Softner
4/9 Dishwasher D. Fountain
.J zT( J / t 5 , viey W Heater Ejector
f 7 � Urinals Future outlets
01.41 /-Z(
J ** Violation notes on reverse side