HomeMy WebLinkAbout0011895-Plumbing CITY OF OSHKOSH No 1
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG,, SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS L 3 / , PLAN NO.
OWNER ,--- a---� i-r- �/1/`C
DESIGNER
USE /NATURE OF WORK /Z2 cr
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 / 4 ,
4 BT WH 0 isp WSoft CBasin
--f— Lav Sh 1_ DW DF San. Sewer
WC FDr SP Ur Storm Sewer
4.._. Sink LTub Eject SS Water
Other
I. FEES: Valuation $ 3(--,,,, Permit Fee Paid $ /5 ---62:2 T Park Dedication $
ISSUED BY A i _ ; ∎ _ Date % ?/. p-- Final /O.P. /-
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE , ,... 4j v ` z. 2-
AGENT /OW DATE
ADDRESS
TELEPHONE #
S ING PERMIT APPLICATION //
ADDRESS. ?j 4 DATE 4/0/5/(d PERMIT# 115----
OWNER /i t PLUMBER A
NATURE OF WORK `2- ..t.. X
NEW RELAY REPAIR INTERIOR
SAN SEW J #
WATER R I #
WATER
SEW! / Catch Basin
Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE / Kit. Sink Local Waste
Sink(other Site Drain
Opal so Shower Laundry Stand Pipe
.Z� /6.4 / / /' Floor Drain Laundry Tray
r �e �� Disposal Wat. Softner
3) CA 14,C e o ` 4 7� �/ 1 / Dishwasher D. Fountain
Water Heater Ejector
b - Urinals Future outlets
C ilACC-av-el-tc)) / ,)
r A.v6ig-k
- .•t-_ on the revers- -ide