HomeMy WebLinkAbout0008459-Plumbing (interior) CITY OF OSHKOSH No 08459
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS �_� � PLAN NO
OWNER ��0
DESIGNER
USE /NATURE OF WORK 7 /dam , � d
•
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 �b4!Vc'
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
• WC FDr SP Ur Storm Sewer
Sink LTub ,, _1 Eject SS Water
l titL ^`
Other /
16 2( 3
FEES: Valuation $ 1 Permit Fee Paid $ - 1 ( 10" Park Dedication $
ISSUED BY Date 1573 //y Final /O.P.S '157
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
Q ) )- „ n
W`-� �✓ � -� 2 - C-!J'
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS ' Po / /c , - DATE . PERMIT# c „,-,y 5 - 7
OWNER _ :. er. , A - PLUMBER /
NATURE OF WORK /vim 57-- (3 ha 7%)
NEW RELAY REPAIR INTERIOR
SAN SEW # #
WATER / Bathtub
STORM SEW, I Catch Basin
N; Lavatory f,'l Grease Trap
Toilet ►II ( Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink ( Local Waste
A V/.2/4 , - Sink(other) Site Drain
(i ce Shower / Laundry Stand Pipe le. �,— �,� S� /a j Floor Drain � Laundry Tray /
,th Disposal 1 Wat. Softner
p9 Dishwasher D. Fountain
,���� / I) 6g � � L Water Heater / Ejector i
I l,� �I W Urinals - Future outlets
C(5e3c i-6 G4)4
r Violation notes on the reverse sidel