HomeMy WebLinkAbout0022733-Plumbing (interior) CITY OF OSHKOSH N° 22733
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG% SIGN ❑ ZONING FLOOD PLAIN HEIGHT
•
ADDRESS A S T Q S i PLAN NO.
OWNER J/ - /
DESIGNER ,
USE /NATURE OF WORK N-R -t-...) "r 1 R. - ;" , -/
i
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 • V /'
BT —1 WH / Disp WSoft CBasin - , /
Lav / Sh / DW DF San. Sewer
2 WC 11 FDr / SP Ur Storm Sewer
/ Sink / L-Teb- /4C C J Eject SS Water
Other
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FEES: Valuation $ o0 -0 0 Permit Fee Paid $ -5— - ° 0 Park Dedication $
ISSUED BY Date 3 / = � Final /O.P. /;,° / 7 "5
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 4. k: *., , : ; , ___ 3- 2..7. --c(
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS `PJ //`-a -C • DATE /.y / /}E PERMIT /_ / ,2 '733
OWNER Jlc PLUMBER
NATURE OF WORK X'2, -C/ -Ei (/e..Q4
NEW RELAY REPAIR INNTERYOR
SAN SEW # #
WATER / Bathtub
STORM SEW / Catch Basin
Lavatory // Grease Trap
'-Toilet // / Sump Pump /
INSPECTION DATE INSPECTION DATE /Kit. Sink / Local Waste
( �? Sink(other) Site Drain
`� U t.G> `.) j `'f `/V { / Shower / / Stand Pipe /
� /�gy. / Floor Drain / Laundry Tray
q
"/ V // f y/ t Disposal O Wat. Softner
F C. _. j Dishwasher / D. Fountain
/Water Heater / Ejector
, Urinals Future outlets
P Violation notes on the reverse side{