HomeMy WebLinkAbout0005776-Plumbing (interior) CITY OF OSHKOSH N°_ 05776
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ig SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS .,2c ' /S-- i //7 ' «` PLAN NO.
OWNER /�
DESIGNER
USE /NATURE OF WORK / . Side PA
�</‘ j IO/~ 7 41
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 h,
BT _L WH Disp WSoft CBasin
I_ Lav Sh DW DF San. Sewer
WC _4 FDr 1_ SP Ur Storm Sewer
Sink ÷ LTb Eject SS Water
Other
FEES: Valuation S-2,2� Permit Fee Paid $ -2v ✓ Park Dedication $
ISSUED BY 0 Date A )77 4 7 Final /O.P. 1'/ "J'?
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �/ j P/� Z NA' 7/0
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS �/(/' / I/J �°ir�c- cL DATE / ~ 7 "tr7 PERMIT # 06
OWNER /2.- -. ,,/ 64 PLUMBER A6/Li� 1.--
NATURE OF WORK " <// 5"
NEW RELAY REPAIR INTERIOR
SAN SEW i # #
WATER 1 rathtub / Catch Basin
STORM SEW a
i Y / Grease Trap
1 Toilet / ( Sump Pump rim)
INSPECTION DATE INSPECTION DATE t Kit Sink / Local Waste
a( /U/�/ 7 If / // / / Sink(other) Site Drain
cP �orAiwa.v ' �. -6, e Shower / Laundry Stand pipe
/� fb / i � (� / Floor Drain Laundry Tray
7� // / Disposal Wat. Softner
AL<?riz T /-z/f /17 Dishwasher D. Fountain
Water Heater ( Ejector
r l oin I Urinals Future outlets
I ** Violation notes on reverse side
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