HomeMy WebLinkAbout0026174-Plumbing (dishwasher) CITY OF OSHKOSH N9 26174
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X] SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS °Z 2 l
PLAN NO.
OWNER e_- G
DESIGNER
USE /NATURE OF WORKS
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 /(e`d �:,��z
BT WH Disp WSoft CBasin
Lay Sh / DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink _ LTub Eject SS Water
Other
FEES: Valuation $ to 0 O • 0 0 Permit Fee Paid $ / ° d Park Dedication $
ISSUED BY C.-..i Date //` 7 " 2/ Final /O.P. 5 $ -- ii
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE L.,-/-, 1,u ) /x'-447 /
AGENT /OWNER
DATE
ADDRESS 7/ 7
40/r./ . ��G �C� C- ,ae:/ ,7-571-',14,
3 TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS d oZ / 0 fe - .e.-iir_,-a-- DATE - 8- 2/ P RMIT # 6/7/z
OWNER G , \ - ° ; 3 '� 6 .‘e PLUMBER �` .L c_ L
NATURE OF WORK ( eti,o
NEW RELAY REPAIR INTERIOR
SAN SEW i # #k
WATER rathtub Catch Basin
STORM SEW avatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE it Sink Local Waste
Sink(other) Site Drain
`� -9� ��� Shower Laundry Stand pipe
Floor Drain Laundry Tray
Disposal Wat. Softner
/ Dishwasher D. Fountain
Water Heater Ejector
I Urinals Future outlets
j ** Violation notes on reverse sides