HomeMy WebLinkAbout0001791-Plumbing (interior) CITY OF OSHKOSH No 01791
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGX SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS . 5--- / h e p--V PLAN NO.
OWNER �� a��E' 4- ipette ta"("-
DESIGNER
USE /NATURE OF WORK _ • , F
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 / 4,--
i BT WH Disp WSoft _ CBasin
Lav — Sh _4 DW DF San. Sewer
_WC _4 FDr _t SP Ur Storm Sewer
L Sink 7 Ll Eject SS Water
Other
FEES: Valuation $ 4/5r— Permit Fee Paid $ � 1 Park Dedication $
ISSUED BY �--t./ Date /1/ /j%c Final /O.P. / .2 "3 i-$c
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE v 7 a-L - - G 6 -2-- Z/
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION a v
,
PLUMBER (s4 S 3 DATE ��/ i
NAME OF OWNER �(/ 't e�+ � 7 ADDRESS pk7cyr1// /19C 4i i,,(
/-,/,/ /'` / v. `,1�0-'cA, 5
NEW SAN. WATER , STORM , RELAY SAN. WATER STORM
Main to Curb _ Main to Curb
Curb to Bldg. Cuit..., 40� 1dg .
Elect. Pumps Repair +,
Septic Tanks
NEW REP. NEW REP. 1 NEW REP.
Bath Tub / Gar. Disposal Catch Basin
Wash Basin i Dishwasher Conductors
Water Closet Laundramats _ / Grease C.B.
Sink 1 Water Softener _ Sump Pump
Water Heater , San. Bubblers _ Bar Wastes
Shower Bath Urinals Range Boiler
Floor. Drain _ 1 Dental Cuspidors Future Outlets