HomeMy WebLinkAbout0023334-Plumbing (interior) CITY OF OSHKOSH N °_ 23334
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG )4" SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS // 4. 4-2--- PLAN NO.
OWNER eet-; 9- /
DESIGNER
USE /NATURE OF WORK /V " $ " `
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
BT WH L Disp WSoft CBasin (.4,4--
1 Lav _ Sh / DW DF San. Sewer
WC FDr SP Ur Storm Sewer
L Sink LTvb/} (Lr.) Eject SS Water
Other
FEES: Valuation $ /4315 0' 0 C �� Permit Fee Paid $ 6 d t ° G Park Dedication $
W e`'"
ISSUED BY "" ; Date s .-- ` `l
w / � ^^ Final /O.P. 7 —1 9 ' / 4
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In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATU .1 44,..v....„, 4r/ea f8"/ 3 — /.5 —Jam' /
AGENT /OWNER DATE
ADDRESS 4 3 ' , 0 f 1
/ TELEPHONE #
PLUMBING PERMIT APPLICATION qq
ADDRESS // 0 (-- C , DATE s -- . 2'/ PERMIT # / 3731
OWNER 6-c.- 6.-d 1 /4 - rn�>- PLUMBER C f i -e�..°.,"
NATURE OF WORK /)-.2,—..) S F iQ _ /�-,( „ � -'.1- S� SO O. o o)
NEW RELAY REPAIR INTERIOR
SAN SEW # #
WATER ,2rathtub /, Catch Basin
STORM SEW - 3 avatory /// 'Grease Trap
?Toilet /// if Sump Pump /
INSPECTION DATE INSPECTION DATE / Kit Sink / Local Waste
Sink(other) Site Drain-
(/� G 7/ Shower / Laundry Stand pipe/
KT: 6- 6 " 9V f Floor Drain / Laundry Tray
r Disposal / Wat. Softner
/ Dishwasher 0 D. Fountain
7 -/7 1 Water Heater / Ejector
Urinals Future outlets
I ** Violation notes on reverse sides
A/ 9 r