HomeMy WebLinkAbout0030312-Plumbing (shower) CITY OF OSHKOSH N°_ 30312
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG, SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS g/s PLAN NO.
OWNER e'
DESIGNER 1 _C 7"/Z____
USE /NATURE OF WORK .y
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 /
BT WH Disp WSoft CBasin
- Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
- Sink LTub _ Eject SS Water
Other
FEES: Valuation 4 g-0 • 0 a /4. O Y
$ Permit Fee Paid $ Park Dedication $
ISSUED BY I Date g — moo .. Z Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS /L 7' y -„, - Z3 1- p
4 -„,--
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS E/s' 62,,
� � „ DATE _3 / 9 �- RIYIT# CI 3/ Z
OWNER -- PLUMBER. - =—
NATURE OF WORK - '/ // — g -�G. -e z-�- , ,
NEW RELAY REPAIR INTERIOR
SAN SEW 11
WATER
y ;1" A , Lavato - - l _ Sump Pub
E'ector
Tail - Water Softener
= DATE INSPECTION DATE Kit. Sink
Drinking Fountain
Sink(other) urinal
7/3/ �Waterheater Slop Sink
Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
,Dishwasher Catch Basin
** Violation notes on the reverse side(