HomeMy WebLinkAbout0028611-Plumbing (addn to #27261) CITY OF OSHKOSH N° 28611
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG O SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS `/ 4D C C,, PLAN NO.
OWNER e '
DESIGNER ,�^
USE /NATURE OF WORK l" cl�� /? ` �y�
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 40 i7u'''�'■='""
BT WH Disp WSoft CBasin c.%.—
Lav Sh DW DF San. Sewer
WC FDr SP Ur _ Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ /6-6 a a Permit Fee Paid $ /e)' 0 - Park Dedication $
ISSUED BY C.3fr Date " / AY 9" Final /O.P. ,' — 7 9 �
In the performan - . this work I agree to perform all work pursuant to rules governing the described construction.
/
SIGNA . - E / %?—
5 —/
/� AGENT /OWNER DATE
AD P2 ,
DRESS � � I qS
TELEPHONE #
PLUMBING APPLICATION
/, 6 L PERK? AP LI TION
ADDRESS. Le i L ti DATE . ` 1 7 '� 7 PERMIT* ,P 6 1 /
OWNER . PLUMBER ✓� -
NATURE OF WORK -<-/- �.. i . / ' 2 7,2 ‘,/
NEW RELAY REPAIR _ INTERIOR
SAN SEW # #
W • R Bathtub
MP :I.. A. Su . Pu
Lavato E'ector
Toilet Water Softener
tii 4 sr, • + - . r INSPECTI • DA • Kit. Sink
Drinkin• Fountain
Sink other _ urinal
� v Waterheater Slop Sink
Shower Grease Trap
,Floor Drain Local Waste
/ ' Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
** Violation notes on the reverse side{