HomeMy WebLinkAbout0016983-Plumbing (interior) CITY OF OSHKOSH N°_ 16983
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG0 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS _ Z _ r ,7/ _ , PLAN NO.
OWNER I/-C' . J LT , 3 /l `� /er
DESIGNER
USE /NATURE OF WORK _ 1 /. i i yi
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 4 Disp WSoft CBasin
2 \ Lav Sh / DW DF San. Sewer
' _L FDr SP Ur Storm Sewer
+ Sink LTub Eject SS Water
Other /- 41--
/ y
FEES: Valuation $ "jl� Permit Fee Paid $ 5.�. Park Dedication $
ISSUED BY Date /--- 4 � - 7 o Final /O.P. „,2 � ' a.rD - ` Q
0
In the performance o this wor . r o perform all work_pursuant to rules governing the described construction.
SIGNATURE 0
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
�j ` PLUMBIN PERMIT APPLICATION �j
ADDRESS / 1 7 , 5 C�Y PI-'.C��l DATE / / 94 /CIO
PERMIT # `
OWNER ed n. / l�l ce,,' /i'rc % . Sli / 1hper4f ER A►riir. *ifm IIIel/ /
NATURE OF WORK f!"4/A./ Ste
NEW RELAY REPAIR INTERIOR
SAN SEW # # WATER Bathtub 1�j Catch Basin
STORM SEW t ,ZLavatory �{�T� 'Grease Trap
Toilet 11)) / Sump Pump fl
INSPECTION DATE INSPECTION DATE / Kit Sinkl Local Waste
�/ Sink(other) Site Drain
/VC J0'/6-g'►-e -is /0/3/ Shower j / Laundry Stand pipe
Floor Drain 1 Laundry Tray
G' /f //‘ /IU 4e ( Disposal Wat. Softner
711°/-€.."--- oyf/ /.•2-4z9 1 Dishwasher) D. Fountain`
f Water Heaterf Ejector'
f x/2)/1 % /i //(.-<
v/ S Urinals Future outlets
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..1) 6 / map m jj,,„ vr,.1,
et
j** Violation notes on reverse si ej
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