HomeMy WebLinkAbout0021713-Plumbing (install BFP on boiler) CITY OF OSHKOSH N° 21713
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG 4 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /3 A--' PLAN NO.
OWNER I.� ,�s.r✓
DESIGNER
USE /NATURE OF WORK ,Q 6 r i� 0--)..._ —e.:It...._
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 g L
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 $ /0 - , ° , ° Permit Fee Paid $ '' 4) 6 I Park Dedication $
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ISSUED BY �) �— �-Cc
� Date /1/ y
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE 1� \ 0 1 'U1.• till _ ► I 1 i►Z \ (� `�
AGENT /OWNER , , DATE
ADDRESS \L-k0 ,_ ' E# 1
TELEPHONE #
3 :;) � lJ PLUMBING PERMIT APPLICATION /
ADDRESS " DATE / / 0 / PERMIT # a /7/3
OWNER PPLUMB R
NATURE OF WORK -414- �G� 13/1 o-7.-- -c--4_
NEW RELAY REPAIR INTERIOR
SAN SEW I # #
WATER Bathtub Catch Basin _
STORM SEW Lavatory Grease Ttap'
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste'
Sink(other) Site Drain
d 4' Shower Laundry Stand pipe
Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
I ,Urinals Future outlets
I** Violation notes on reverse side