HomeMy WebLinkAbout0009706-Plumbing (interior) C116) CITY OF OSHKOSH No 09706
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG.K __SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS c 2F/6 "1/49,1 7' Z-4- PLAN NO.
OWNER - . / _ d
DESIGNER
USE /NATURE OF WORK �a� U -, Sfi /is�/ ,4/4/2-7".;
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 bile? 4-
+ BT WH Disp WSoft CBasin
-3 Lav - 2 - Sh i DW DF San. Sewer
3 / WC _L FDr L SP Ur Storm Sewer
-L Sink LTub // Eject SS Water
Other /— /64.4"- /247 ` S //2-c
41
. —
FEES: Valuation $ • _ Per it Fee Paid $ Park Dedication $
ISSUED BY f �/ Date 0 Final /O.P. q - 34
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE _ C r Gam/ (_.. 2- 2 , f - 9' -S21
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PL ING PERMIT APPLICATjON
ADDRESS - 0 j l / . .. DATE (57,17 PERMIT# 4, ?2G i45 OWNER - �. - _ LLLA.- ,f■ PLUMBER _ fr' cs-
NATURE OF WORK
NEW RELAY REPAIR INTERIOR
SAN SEW # #
WATER 7 Bathtub Catch Basin
STORM SEW Z Grease Trap
Toilet II / Sump Pump i
INSPECTION DATE INSPECTION DATE Kit. Sink .I Local Waste
��/ Sink(other) Site Drain
fr/c K _ Shower I1 Laundry Stand Pipe
/ Floor Drain' Laundry Tray
(19/36)---‘ / Disposal J Wat. Softner
Dishwasher J D. Fountain
Water Heater' Ejector
Urinals Future outlets
r** Violation notes on the reverse side