HomeMy WebLinkAbout0017060-Plumbing (interior) CITY OF OSHKOSH N°_ 17060
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG A SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ______ A.,r�� _ _ _ 2 5, -; 'f.'A PLAN NO.
/ `
OWNER ..r T ,� _ -4-3 �Gl / 9 0i! c___.
1
DESIGNER
USE /NATURE OF WORK ■iaA / - A i , "7� _
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 1-v l7/ l ticr
—L BT WH / Disp WSoft CBasin
4 Lav J_ Sh l_ DW DF San. Sewer
2-,WC 4 FDr SP Ur Storm Sewer
Sink L Eject SS Water
Other
arit7 /3 ,/
FEES: Valuation $ Permit Fee Paid $ 5 Park Dedication $
ISSUED BY______________________ Date /741.2- ^ 90 Final /O.P. - ` ^91
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ' ' ■ l 41, ' (TL 2 Z/
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
/
PLUMBING PERMIT APPLICATION
/704
ADDRESS ( ` 1 9 ,�/[ e�/� DATE /4 PERMIT #
OWNER C ``", . t - .1---- PLUMBER �'2 , Z "_-
NATURE OF WORK "(if', 5/
NEW RELAY REPAIR INTERIOR
SAN SEW i # #
WATER I Bathtub I Catch Basin
STORM SEW L Lavatory
a Grease Trap
2-Toilet 0 1 Sump Pump t
INSPECTION DATE INSPECTION DATE I Kit Sink Local Waste
U r 'Sink(other) Site Drain
U // i Shower / I Laundry Stand pipe C
fifi
1 Floor Drain1 Laundry Tray
21 Cerv�✓ / Disposal 1 Wat. Softner
Dishwasher' D. Fountain
Water Heater 1 Ejector'
5/6 f- 3 /c /ra Urinals Future outlets
1 ** Violation notes on reverse side'