HomeMy WebLinkAbout0008117-Plumbing (interior) CITY OF OSHKOSH N° 08117
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG -SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS °7 P6 1 A Li - PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK ��.� _ _ ^ y_ / ���
i
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 ll�
L BT WH Disp WSoft
CBasin
Lav Sh ___Z_ DW DF San. Sewer
2 — WC L FDr _4 SP Ur Storm Sewer
1 Sink LTub Eject SS
Water
Other
FEES: Valuation $—) may Permit Fee Paid $ $----`/ Park Dedication $
ISSUED BY Date _ 3T , G
Final /O.P. / ` 5
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 417 - ��
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #
//� PLUMBING PERMIT APPLICATI N
ADDRESS .2 5
,�'D /�` 7 U DATE x (7 PERMIT# l ,
OWNER � Z oii�� _Q /.._ t , "� eti PL UMBER / � TT�
�/
A „ c.
NATUi E OF WORK /A-C S/'
NEW RELAY REPAIR INTERIOR
SAN SEW # #
WATER Bathtub/ Catch Basin
STORM SEW, Lavatory,/ Grease Trap
Toilet ( Sump Pump
INSPECTION DATE INSPECTION DATE , Kit. Sink Local Waste
uu e z// / W Sink(other) Site Drain
�I ( CEO Shower Laundry Stand Pipe I
Floor Dra in! Laundry Tray
4 fl Disposal Wat. Softner
, 1 j1/ -2/cc Dishwasher D. Fountain
Piet &r (J v _ Water Heater 1 Ejector
r 7/ , 0 ,..-- , Urinals Future outlets
.Z) V LI-
T Violation notes on the reverse side