HomeMy WebLinkAbout0011930-Plumbing CITY OF OSHKOSH No 1
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /2 j'A // PLAN NO.
OWNER /. 4v (4.k....--/70.-- ZAP- �4
DESIGNER
USE /NATURE OF WORK /'aj/74e •e(i/e7orzvE1
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 t /</Pti
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
A WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $_.30,...74 Permit Fee Paid $ �. 0-0 Park Dedication $ p
ISSUED BY -f� Date /. - - - � Final /O.P. a of 7 Q 2
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
9Q2
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
// PLUMBING PERMIT APPLICATI N
ADDRESS Z11.47 /12-2,1/2/' / DATE /.2J ?7 PERMIT# ��F315
OWNER i4 — L / �l e C . PLUMBER O /i e.4-
NATURE OF WORK 4 Ce.
NEW RELAY REPAIR INTERIOR
SAN SEW # #
WATER / Bathtub Catch Basin
STORM SEW I / Lavatory i Grease Trap
.Z Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Q / So her) Site Drain
/l /�/ ��� Shower Laundry Stand Pipe
Floor Drain Laundry Tray
Disposal Wat. Softner
/ .27 Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
I** Violation notes on the reverse side!