HomeMy WebLinkAbout0014734-Plumbing (interior) CITY OF OSHKOSH N2 14734
40.) PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG,11-- SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 J�h,.P�l ,1... PLAN NO.
OWNER '& - ti /9- C J s,..f --
DESIGNER
USE /NATURE OF WORK - i_- iv ! -.14,4._ / . 4 - Al/ ..
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 _ i 4 1 -
BT _I WH Disp WSoft CBasin
Lav Sh ( DW DF San. Sewer
7— WC FDr SP Ur Storm Sewer
4 Sink LTub Eject SS Water
Other / -- /C9 /1iYl _ _
)3 )/
FEES: Valuation $ )� Permit Fee Paid $ 5-2-.,...-v____
A. Park Dedication $ p
ISSUED BY Date Final /O.P. 6 --J 7
g
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE w` "1G- 6 )-1 0 . Y -f f
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICA ONN q C�
ADDRESS. �'�!�.- S C'i'" f? DATE e l — c PERMIT# . /� I
OWNER (c lr�r ^(/ ec 0, -- PLUMBER (� 77(7,g--r NATURE OF WORK / ef..V ,....57R ` . y s vu
NEW RELAY REPAIR INTERIOR
e
WATER =Bathtub Catch Basin
11 ::y A Lavato . Grease Tra •
MI Toilet I S .,, • P
• C t•N DATE INSPECTION DATE a Kit. Sink Local Waste
/�/ ////> Sink(other Site Drain
bit %/�9 * MI Shower /, Laun • r• Stand Pipe
IVA Floor Drain — aund • Tra.
-- � Ell Dis•osal Wat. Softner
S /�� /] Dishwasher IN D. Fountain
/
mu Water Heater MI Effector
/�/ 1J k ` K cd Future outlets
2 ) w At/ frc-vt
I** Violation notes on the reverse side