HomeMy WebLinkAbout0023407-Plumbing CAND, CITY OF OSHKOSH N2 23407
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG Xil SIGN ❑ ZONING FLOOD PLAIN HEIGHT
a
ADDRESS PLAN NO.
OWNER 11 �—z^" /..:1;-,
DESIGNER
USE /NATURE OF WORK T -! -� ( ,t 4-" -
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR --
BT WH Disp WSoft CBasin ��)"
Lav Sh DW Dr San. Sewer
it WC pp FDr SP Ur Storm Sewer
L. Sink - & a.- LTub Eject SS Water
Other
FEES: Valuation $ 7 4 f O ,o 0 _Permit Fee Paid $ ' - / n v
,� Park Dedication $
ISSUED BY � � � e,- Date 5 -- ' 2 " - ` 7 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 5--.1-1.--6? AGENTIOWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION /
ADDRESS -2 VYO Qma DATE - 3» g/ 57 PERMIT# 2 «
/V
OWNER - .0 0`"` PLUMBER -// ///
NATURE OF WORK -
R . 1: /‹-, n 6 ` 0 6
NEW RELAY REPAIR INTERIOR
SAN SEW # #
WATER /Bathtub Catch Basin
STORM SEW, i Lavatory Grease Trap
f Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
_ Sink(other) 6�. Site Drain
��-/ �(0 3/� �
N Shower Laundry Stand Pipe
4] / , / Floor Drain Laundry Tray
Wat. Softner
�� ,� i / Disposal Dishwasher D. Fountain
r Water Heater Ejector
Urinals Future outlets
I** Violation notes on the reverse side] avit Cd d,,,.,
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