HomeMy WebLinkAbout0012837-Plumbing (interior) CITY OF OSHKOSH N° 12837
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG OL. SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS Y 6? ,,,Z,L PLAN NO.
OWNER G e e. P.--
DESIGNER
USE /NATURE OF WORK = -- - -Zt , . v. z� 4.4 ./r
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 /� / /Z� ."
2 BT WH -1- Disp
WSoft — CBasin
Lav _ Sh DW _ DF _San. Sewer
7 WC / FDr _L SP Ur Storm Sewer
Sink / LTub Eject SS Water
/
Other " /C/,7fi,a/jrG/
FEES: Valuation $ '— Permit Fee Paid $ a V Park Dedication $
ISSUED BY Date 7 /•'` - Final /O.P. 5 5 -g
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE L. a L✓ - .2.2,
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #
_ PLUMBING PERMIT APPLICATION
ADDRESS ,p? y..2 S „S 47a^,,
r DATE // PERMIT# _ '37
OWNER / 7,0 - --
� PLUMBER [A1/4'40-14-%-r r ' -� /-�
NATURE OF WORK /vpa„./ SA4
NEW RELAY REPAIR INTERIOR
SAN SEW # 4 V 0 , #
WATER Bathtub M Catch Basin
STORM SEW 3 Lavatory(( Grease Trap
3 Toilet 0 1 / S P ump
INSPECTION DATE INSPECTION DATE 1 Kit. Sink ( Local Waste
ink(other). Site Drain
r �
v v 3 /iS 7 0 L3 7 444. n 4 bower / Laundry Stand Pipe
Wee 5 ///2, / Floor Drain Laundry Tray
�1� / Disposal N Wat. Softner
/ Dishwasher, D. Fountain
� t I Water Heater ( Ejector
�
3// A9 ('0/TCc c� -t rwry Future outlets
�!
( ::7: r 57
L** Violat3.on notes on the reverse side