HomeMy WebLinkAbout0021010-Plumbing (sink & piping) 1 /� CITY OF OSHKOSH N2 21010
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS � 6 a 69UGj0( PLAN NO.
OWNER t�C» -1 /2- /j h0 - A1 , 1" 1 tLJ JEg, L - /il-
DESIGNER / ��
USE /NATURE OF WORK Z.,' �` �' atccv 5t it..4 G GZe ,L779 /11
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 b f q x r
BT WH Di WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
o
FEES: Valuation $ "1 b 't:.) Permit Fee Paid $ te ' o Park Dedication $
ISSUED BY "9Y' � Date //r Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE [ 7/1Z74-.— /0fitO
AGENT /OW 6
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS hiU A 0.)&u- at DATE PERNIPT# . 7/0/Z.) OWNER - �* o_,j ���- :..00,�,lrlas�t�LUMBER C . _
NATURE OF WORK 10.,4e: .� %
NEW RELAY REP R INTERIOR
SAN SEW # 4k
WATER Bathtub Catch Basin
STORM SEW° Lavato Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE / Kit. Sink Local Waste
Sink(other) Site Drain
Shower Laundry Stand Pipe
Floor Drain Laundry Tray
QQ0 Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
_ ,Urinals Future outlets
•
f** Violation notes on the reverse side