HomeMy WebLinkAbout0020578-Plumbing (disposal) (4) CITY OF OSHKOSH N°_ 20578
- PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG AI SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 72 o /'/ PLAN NO.
OWNER L
DESIGNER
1
USE /NATURE OF WORK g � � -AL- - /= -
1 /
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 ..e--
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ r-2' (21--e-6-4""
s . C Permit Fee Paid $ , c ' Park Dedication $
ISSUED BY .-- om� °.,, Date 9 - a 7 - 2� Final /O.P. T io- O3 ' 90
In the performance of i work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE l"v j) 9 — 7 - -0
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS , 3■) /r/°t ^t---/ �, / DATE , � -y'(? PERMIT# ' 26)-5-7 g . 7 g .
OWNER 1 • /�1r C 2 PLUMBER 4ZC � i7
NATURE OF WORK ilo. e / s q
NEW RELAY RE PAIR INTERIOR
SAN SEW # WATER Bathtub Catch Basin
STORM SEW, Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
'-",--,0,7iii2---el Sink(other) Site Drain
7 3 Shower Laundry Stand Pipe
Floor Drain Laundry Tray
/ Disposal Wat. Softner
( Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
J Violation notes on the reverse side