HomeMy WebLinkAbout0020940-Plumbing (interior) CITY OF OSHKOSH N° 20940
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG Ai SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS //3 0 L PLAN NO.
OWNER f� �.J -"
DESIGNER
USE /NATURE OF WORK ��'-'' S
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 a Ar -
2- BT WH 1 Disp WSoft CBasin
Lav Sh C DW DF San. Sewer
›'WC FDr 1 SP Ur Storm Sewer
Sink / - itt)ACW, Eject SS Water
Other
FEES: Valuation $ Y/...K--41°' O O J` . O O
C �� - � �� Permit Fee Paid $ Park Dedication $
ISSUED BY Date ' /17/9 Final /O.P. ///2 9/? 6
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE � _ Z-- t ,2,21 /s-,-/ 7_ Q'o
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATTON
ADDRESS //30 , L DATE 0" - - 2 6F" --,2 PERMIT # ;26 4D met PLUMBER GU
ll
NATURE OF WORK N -^' S F C ... `)
NEW RELAY REPAIR INTERIO y09
SAN SEW # # _
WATER 7 Bathtub // , 9 Catch Basin
STORM SEW, , Lavatory // // Grease Trap
.2 Toilet /1 // / Sump Pump / /
INSPECTION DATE INSPECTION DATE / Kit Sink / / Local Waste
Sink(other) Site Drain
t.A &- 0 K 9 _ /2 0 Shower / Laundry Stand pipe f
/ Floor Drain/ / Laundry Tray
1/ �j � � � /0/V90 /%'T / Disposal / Wat. Softner
/lJ Dishwasher / D. Fountain
° � �� / Water Heater / Ejector
Urinals Future outlets
/3
** Violation notes on reverse side