HomeMy WebLinkAbout0025835-Plumbing (kitchen) CITY OF OSHKOSH N°_ 25835
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG W SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /b c 3 ifif
PLAN NO.
OWNER 4 - C
DESIGNER K USE /NATURE OF WORK r" ' - / &..-e...-,Li 6k1 cle--,:ter-4-------
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 0 ii. !-- c.... ---
BT _ WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
_L Sink LTub Eject SS Water
Other
FEES: Valuation $ Permit Fee Paid $ / 6 - ° o Park Dedication $
ISSUED BY _ Date " -' /G `77 Final /O.P.
In the performance of «is work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR t �4 - -
AGENT /0 ER
/ DATE
.9/
ADDRESS ,. / 4 - _ /r./.. _ _ ■ a.. / 0-41A111 � � - `
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS /Or 3 - DA 7 - / S" - 9/ PERMIT# 5 6 3 S�
OWNER -I-- T , � = ���-- R
NATURE OF WORK i 40 :�� �
NEW RELAY REPAIR INTERIOR
SAN SEW 1 # #
WATER Bathtub j Catch Basin
STORM SEWI Lavatory j Grease Trap
Toilet I Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink I Local Waste
/ Sink(other) Site Drain
Shower Laundry Stand Pipe
Floor Drain Laundry Tray
/ Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
1** Violation notes on the reverse side]