HomeMy WebLinkAbout0003260-Plumbing (interior) CITY OF OSHKOSH N9 03260
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGSIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ..,2 >���i L, ! / /a_3 4 . /?' / c -,.• -,___ PLAN NO.
OWNER c
DESIGNER
USE /NATURE OF WORK �/c!t- J %Z(4C / ��Gyy y „ Ali
v
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 ___L WH Disp WSoft CBasin
Lav 4_ Sh DW DF San. Sewer
�WC FDr SP Ur Storm Sewer
Sink L LM Eject SS Water
Other
FEES: Valuation $ • P it Fee Paid $ 3 00 / Park / " Dedication $
ISSUED BY ;:% _ Date . 3/� l`P Final /O.P. •A( /E7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
/
SIGNATURE # .
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION 032( S
PLUMBER 3 <•,_ DATE / r
NAME OF OWN)R c;e7,27,
ADDRESS ,,•‘/5----://‘.,,•‘/5----://‘.71 ,,•‘/5----://‘.71 - D /�
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NEW SAN. WATER STORM RELAY .L
WATER S''ORM
Main to Curb
Curb to Bldit. Main to Curb
Elect. Pumas Curb to Bld_.
Se•tic Tanks
Re•air
NEW REP. NEW REP.
NEW REP.
Bath Tub Gar. Disposal
Wash Basin Catch Basin
Water Closet Dishwasher Conductors
Laundramats Grease Sink Water Softener
Water Heater San. Bubblers B a r a t e '
Shower Bath Bar Wastes
Urinals Ran:e Boiler
Floor Drain Dental Cuspidors
Future Outlets