HomeMy WebLinkAbout0006157-Plumbing (kitchen remodel) CITY OF OSHKOSH N°_ 06157
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ig SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ? / yfe", PLAN NO.
OWNER 6R/1/17( LE'l /V'+
DESIGNER
USE /NATURE OF WORK )$ff� 7" /, s.,
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 !/ C . W/C-L—
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
/ WC — FDr SP Ur Storm Sewer
mac._ Sink LTub Eject SS Water
Other
t —
FEES: Valuation e —
$ Permi Fee Paid $ Park Dedication $
ISSUED BY Date /�/f Final /O.P. 1 1 0 -1 7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE . Li Zg e - 6- 1
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMING PERMIT APPLICATION �, /
ADDRESS s) // 1 brie,' �' DATE //— PERMIT # 0667
OWNER L "� e?-4 J!' Y PLUMBER (9464,7e4--
NATURE OF WORK `�n. 4`
NEW RELAY REPAIR INTERIOR
SAN SEW i # #
WATER i:athtub Catch Basin
STORM SEW avatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE / Kit Sink Local Waste
--------. Sink(other) Site Drain
�) (6 (C/' Shower Laundry Stand pipe
j Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
{ ** Violation notes on reverse side,