HomeMy WebLinkAbout0023405-Plumbing (interior) CITY OF OSHKOSH N° 23405
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS y` /0 ��� -4-4 '
PLAN NO.
OWNER _ ".'-
DESIGNER
USE /NATURE OF WORK 4.1 c� C % - Y 1 6'
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
f �'
/ WH Disp WSoft CBasin 4-A—V ___
L Lav Sh DW DF' San. Sewer
Z ` WC FDr .t. SP Ur Storm Sewer
Sink LFeitr r96 Eject SS Water
Other
FEES: Valuation $ 3 j c ' C3 Permit Fee Paid $ S---2. - 6 O V Park Dedication
ISSUED BY �'e �`
Date —�' $
�- -" Final /O.P. 6-' 2 Z • 1/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR 6-2.3-'1 )
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS ,./e• -.0 '.0 DATE g /-2 s - S/ PERMI .Z.3 }Lb C
OWNER .0 PL ER / _ ` .
/1.4,,„ /1.4,,„
NATURE OF WORK ,u S' F 0� 6 ; 3 . S�• s a
NEW RELAY REPAIR INTERIOR v
SAN SEW # #
WATER }-- Bathtub If Catch Basin
STORM SEW 2 Lavatory // Grease Trap
.2- Toilet // / Sump Pump i
INSPECTION DATE INSPECTION DATE / Kit. Sink / Local Waste
`1 > Sink(other) Site Drain
�i �' �/ Z / �/ Shower f Laundry Stand Pipe /
D i _ / 2. . , / Floor Drain / Laundry Tray
/ Disposal / Wat. Softner
s - ) .2 _ ,./ / Dishwasher / D. Fountain
/- Water Heater / Ejector
Urinals Future outlets
0 p< Y
3
t** Violation notes on the reverse side! , -
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