HomeMy WebLinkAbout0024281-Plumbing (interior) CITY OF OSHKOSH N° 24281
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG x SIGN ❑ ZONING FLOOD PLAIN HEIGHT
.0 5 ADDRESS PLAN NO.
OWNER 0 -- '
DESIGNER
USE /NATURE OF WORK At/• -p",) Sf / - /2 ___Z5 . ___
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 (N r
BT _L WH (Disp WSoft CBasin
_ X- Lav _ Sh DW DF San. Sewer
2 WC FDr SP Ur Storm Sewer
Sink LTub Ejec SS Water
Other / — /
FEES: Valuation $ ° G ' Q 0 _ Permit Fee Paid $ Tb • Q3 Park Dedication $
ISSUED BY C.,- Date 7 — / 2/ Final /O.P. 7 — a 3 7 1
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR - —. t(,--q 1
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS 2 Yg S "4-`Q "^ DATE _ } /.� s 7 / PE T# 2 sz.„7,g/
OWNER G _0. PLUMBER _
/
NATURE OF WORK ti . s rr R - ,,� - L- di L z j
NEW RELAY REPAIR di/
INTE
SAN SEW 4k #
WATER 2- Bathtub // Catch Basin
STORM SEW '} Lavatory /1 Grease Trap
Z Toilet // / Sump Pump
INSPECTION DATE INSPECTION DATE / Kit. Sink Local Waste
Sink(other) Site Drain
"L��� Shower / Laundry Stand Pipe
Q i S - , Z , ....53., / Floor Drain Laundry Tray
1� / Disposal Wat. Softner
7— 3 / Dishwasher D. Fountain
/ Water Heater Ejector
Urinals _ Future outlets
/ 1 , ■ E ----3 Pe* Violation n es on the reverse sides //