HomeMy WebLinkAbout0024295-Plumbing (interior) CITY OF OSHKOSH N°_ 24295
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG g SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /° 6 o Z ....•__ �__.,-- PLAN NO.
OWNER /
DESIGNER l
USE /NATURE OF WORK /v0 - / " ,•-s .0
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 7 V e.,-6,
L
N BT 4_ WH Disp WSoft CBasin
Z Lav _L Sh DW DF San. Sewer
-5 WC _L FDr SP Ur Storm Sewer
L Sink LTub Eject SS Water
Other /1.-- /9 C GJe��
� t 3 f 3 —
FEES: Valuation $ 3 ' 6 c":" ° d Permit Fee Paid $ • 5-42 ' ° ® 17 Park Dedication $
ISSUED BY Date 7 —, 7 — 7/ Final /O.P.
In the performan • this work I agree top • m all work pursuant to rules governing the described construction.
- i , .
SIGNATU i � .✓.i, ‘ - _ / _ 7 /* f-- 9/
// 2 / AGENT /OWNER DATE
ADDRESS 2 / // f b/ I rZg/ '.9 '...
TELEPHONE #
PLUMBING PERMIT APPLICATION
/d eo G DATE 6 - 42- PERMIT # ` ,4 g Y
ADDRESS dr_` ®. p
OWNER P Lj cER T
.,�.� s ue' -
NATURE OF WORK /� i
NEW RELAY REPAIR INTERIOR
SAN SEW 46 �� ,
WATER / Bathtub / Catch Basin
STORM SEW 2. Lavatory /// Grease Trap
3 Toilet /// if Sump Pump /
INSPECTION DATE INSPECTION DATE Kit Sink / Local Waste
Sink(other) Site Drain
p/6' - QI_ '7- /7 /Shower / / Laundry Stand pipe f
"'11 +\ / Floor Drain 1 Laundry Tray
l Disposal / Wat. Softner
• Dishwasher j D. Fountain
/ Water Heater / Ejector
,,,,,,,-.04-, re:-/-z--, _ Future outlets
** Violation notes on reverse side G '� V