HomeMy WebLinkAbout0009708-Plumbing (interior) CITY OF OSHKOSH N9 09708
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG 0...SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS '
DDRESS • 0 - 1, -- l4, - ,10 , PLAN NO.
OWNER s «." :7 /2 e/i0e C.
DESIGNER
USE /NATURE OF WORK
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 ‘447.
_L- BT 1 WH _L Disp WSoft CBasin
Lav Sh 4_ DW DF San. Sewer
WC FDr 4 SP Ur Storm Sewer
Sink LTub Eject. SS Water
/
Other / ` /1%i S' nip,
/.3 7 3 rzv
FEES: Valuation $ 33--- Permit Fee Paid $ 3? Park Dedication $
ISSUED BY Date e de Final /O.P. q - 15 - - 8Y
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 0 w`-- `^-' 4±Cew 6. 2 3 -7-6
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
/ PLUMBING PERMIT APPLICAATIION
ADDRESS �� „ , � 6��1 � DATE ‘7/c4 //c PERMIT# • 92G
OWNER 11-49:•..€4._/ -00 k PLUMBER .�,�
NATURE OF WORK ( 5. 4
NEW RELAY REPAIR INTERIOR
SAN SEW # #
WATER Bathtub !I Catch Basin
STORM SEW, Lavatory 1 , Grease Trap
Toilet (I Sump Pump I
INSPECTION DATE INSPECTION DATE Kit. Sink / Local Waste
Sink(other) Site Drain
l,t, 6 6 6 4( Shower Laundry Stand Pipe /
Q g/ Floor Drain ( Laundry Tray
Je 1 o /4 Disposal / Wat. Softner
/ Dishwasher / D. Fountain
Water Heater 1 Ejector
r ?/ h' " _ Urinals Future outlets
I** Violation notes on the reverse side