HomeMy WebLinkAbout0026275-Plumbing (addn to #24295) CITY OF OSHKOSH N°_ 26275
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG xi SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /D a L-a - ',1
,� �`" PLAN NO.
OWNER Cr'c2,2%`��� I
DESIGNER
c
USE /NATURE OF WORK / X � -- i 1,1,4. e °Z
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 /C /.0 --C
BT WH Disp Soft CBasin 1,0,___
Lav _ Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ al- ° o . ° ° Permit Fee Paid $ . 0
Park Dedication $
ISSUED BYt� - ��., f /— /
Date 2 -,/ Final /O. P. g- ) ` 7 1
In the performance work I agree to rfor II work pursuant to rules governing the described construction.
SIGNATURE // 9 /
AGENT /OWNER DATE
ADDRESS 7100 4./Ssritieel' h
TELEPHONE #
PLUMING PERMIT APPLICATION
ADDRESS OOH O LA., DATE 9 —/ 2 ' PERMIT# 2 2 7-5
OWNER - e -t PLUMBER ,
NATURE OF WORK �...., a..® ih-- Z ..2,4"...275— �-
NEW RELAY REPAIR INTERIOR
SAN SEW I # #
WATER Bathtub Catch Basin
STORM SEW1 / Lavatory 1 Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Sink(other) Site Drain
F 719- Shower Laundry Stand Pipe
Floor Drain Laundry Tray
/ Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
'Urinals Future outlets
1** Violation notes on the reverse side