HomeMy WebLinkAbout0020950-Plumbing (interior) CITY OF OSHKOSH N 9 20950
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG fg' SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS '. - - (_.
(� PLAN NO.
OWNER ✓ •
DESIGNER
USE /NATURE OF WORK N . °_ -' .5 f
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Float ❑ 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 e.--
.7 " — BT WH / Disp WSoft CBasin 4,-)"--
3- Lav Sh .L DW DF San. Sewer
3. WC / FDr SP Ur Storm Sewer
_/____ Sink 4.•L -fib if.C.GV, Eject SS Water
Other
FEES: Valuation $ ?i 3$`513 Permit Fee Paid $ ‘ -:.1-- ' 0 8 j Park Dedication $
ISSUED BY 6 Date " Final /O.P. / -- (9S 'Lei
In the performance of this work I agree to perform all work pursuant to rules governing the described construction. a SIGNATURE �,iJ1,/� p,c3 4 2_ 61' /0 - /7 -g
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
o'" / -to PERMIT # �.SB
ADDRES S x.55 5 lZ Q/ ,..�lL" DATE y
OWNER �c'" �ae it e _ PLUMBER Q! gt
NATURE OF WORK �� sP"
NEW RELAY REPAIR INTER OR 3 3 0 # SAN SEW J�� Catch Basin
WATER 2 Bathtub
Lavatory Grease Trap
STORM SEW .� 2-Toilet // Sump Pump
Local Waste
oc
INSPECTION DATE INSPECTION DATE / Kit Sink L oa Drain
Sink(other)
C, Shower 7 Laundry Stand pipe
Laundr Tray
Floor Drain y y
OK .2- Si -9d / Disposal Wat. Softner
1,257/74 / Dishwasher D. Fountain
t- 67/1 / / Water Heater Ejector
1 Urinals Future outlets
1 3 C i
J -
** Violation notes on reverse side r 2
/ ,. PLUMBING PERMIT APPLICATION
ADDRESS .747.51--- .747.51--- S DATE / // 9 / PERMIT#
OWNER 4 // /f ¢.'"`– PLUMBER S'i .- ,.--..--
NATURE OF WORK .S O- -2 F / 41r –
NEW RELAY REPAIR INTERIOR
SAN SEW # #
WATER / Bathtub Catch Basin
STORM SEW, / Lavatory - Grease Trap
/ Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Sink(other) Site Drain
Shower Laundry Stand Pipe
. � ` - ' " Floor Drain Laundry Tray
� - 7/ Disposal Wat. Softner
',-- Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
P Violation notes on the reverse side!