HomeMy WebLinkAbout0005775-Plumbing (interior) CITY OF OSHKOSH N2 05775
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ,2;. SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ..ec7S "1,7,,,,-4,a PLAN NO.
OWNER Z it e4.r In
DESIGNER
USE /NATURE OF WORK ,G s / .‘ ; /4c/ ,l6, ∎
7
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 fi!
/ BT WH Disp WSoft CBasin
- Lav Sh DW DF San. Sewer
- WC 1_ FDr _L SP Ur Storm Sewer
- Sink L L Eject SS Water
Other
. /S3*-- FEES: Valuation $ .Z.02 G — Permit Fee Paid $ -' Park Dedication $
ISSUED BY Date /a/ ? 7 7 Final /O.P. / "/ S
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ,rst ,A
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS A59.5 DATE 9 J 0 3 J17 PERMIT #
eLe
OWNER ■/ 471 /UAL PLUMBER J ,
NATURE OF WORK .9 > " 71411) 471,x1 c. a 3 0 O
//1
NEW RELAY REPAIR INTERIOR
SAN SEW 46 # _ ,
WATER Bathtub Catch Basin
STORM SEW Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste
Sink(other) Site Drain
(- 4 Shower Laundry Stand pipe
,,,,, r ,,,,. 9: , Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
I** Violation notes on reverse side
PLUMBING PERMIT APPLICATION
ADDRESS 7S 7$ i� //2, ,- /a. DATE PERMIT # )$ 27 5`
OWNER PLUMBER i//I /!r /K-9
NATURE OF WORK / -ccJ Sl
NEW RELAY REPAIR INTERIOR
SAN SEW i # #
WATER ( Bathtub / Catch Basin
STORM SEW / Lavatory / Grease Trap
/ Toilet / / Sump Pump 1
INSPECTION DATE INSPECTION DATE / Kit Sink / r Local Waste
l Sink(other) Site Drain
/?'t{ 7 42- l Shower / Laundry Stand pipe
(Floor Drain ( Laundry Tray
i � Disposal Wat. Softner
r I Dishwasher D. Fountain
t Water Heater ( Ejector
f Urinals Future outlets
I** Violation notes on reverse side