HomeMy WebLinkAbout0023144-Plumbing (interior) CITY OF OSHKOSH N° 23144
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS S40, S r a — � � -
/ PLAN NO.
OWNER — ..s___,__
DESIGNER
tvi "
USE /NATURE OF WORK 4eri _ —
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 G ; /}'
B
7
T '2WH _ Disp WSoft _ CBasin �dt..__
2 Lav _ Sh _ DW DF San. Sewer
-7 WC ? FDr SP S Ur Storm Sewer
"Sink LTub — Eject SS Water
Other' - G� ' / S~' -g- c 71& ! K ie c(, r
FEES: Valuation $ 3 3, CJ O ° . O O Permit Fee Paid $ / 6 V. d
Park Dedicatio $
ISSUED BY e,J roc.. -€4, Date . 0 "9/ Final /O.P. 5 /"%/f/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE e ;49 ,., O
AGENT /OWNER DATE LL
ADDRESS
TELEPHONE #
•
PLUMBING PERMIT APPLICATION
ADDRESS 3 YO 'DATE 5 S - ,/ PERMIT # .2 3 r‘
OWNER �i PL ER G p
NATURE OF WORK CJ� a�►a �ti,
� V�
NEW RELAY REPAIR INTERIOR _
SAN SEW 1 # #
WATER Bathtub Catch Basin
STORM SEW 9 Lavatory / Grease Trap
,'Toilet Z Sump Pump
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste
r_ c //./ � Sink(other) S Site Drain
J Gy fi �tv� " / v , 47 Shower Laundry Stand pipe
uk (. ce-z�- L.,,i(.e ,_e - ).- Floor Drain Laundry Tray
Disposal Wat. Softner
A .1.- e.-- /1- 4 1"/ Dishwasher Z D. Fountain
) G �Z e S-__ 3-i,- - Wa.ter Heater / Ejector
s--- / _ �� Urinals Future outlets
j ** Violation notes on reverse side
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