HomeMy WebLinkAbout0008338-Plumbing (interior) CITY OF OSHKOSH No 08338
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG /SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS PLAN NO.
OWNER c/
DESIGNER
USE /NATURE OF WORK
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
j1 BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr _I SP Ur Storm Sewer
Sink LTub Eject SS Water
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FEES: Valuation $ " 0 1 V Permit Fee Paid $ 5 0 Park Dedication $
ISSUED BY Date Final /O.P. 9 - 3 0 ` g
In the performanc this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE e S v/K
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
P UMBING PERMIT APPLICATION 333
ADDRESS'S / ,yl�y�, DATE -/� PERMIT#
OWNER �— fig %� PLUMBER �T/ Pi"2q"u
NATURE OF WORK /,. ,5 /..-tig
NEW RELAY REPAIR INTERIOR
SAN SEW # 4k
WATER Bathtub ( Catch Basin
STORM SEW Lavatory 111 Grease Trap
Toilet tI Sump Pump 1
INSPECTION DATE INSPECTION DATE Kit. Sink I Local Waste
tet U6 7 / Sink(other) Site Drain p
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Shower Laundry Stand Pipe
�� ` /��/ Floor Drain Laundry Tray
1� Disposal Wat. Softner
1 147/, <04 Dishwasher ' D. Fountain
Water Heater Ejector
Urinals Future outlets
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1 Violation notes on the reverse side!
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