HomeMy WebLinkAbout030112 - Plumbing (outside plumbing ) (2) CITY OF OSHKOSH N°_ 30112
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG, SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /76 6 T V PLAN NO.
OWNER 0 -- z�-a
DESIGNER
l
�JJ
USE/NATURE OF WORK '�"�,F f — C.-, 4
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 c_c`-7c-
BT WH itIle-j.--
Di sp WSoft CBasin
Lay Sh DW DF San. Sewer tv c
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS .1_Water ( --<_,_-
Other
FEES: Valuation $ C" Permit Fee Paid $ G . n T P
ark Dedication $
ISSUED BY Date 2/ 4 / 7-2— Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ^-,..-� , mat 3.-(1 7
AGENT/OWNER DATE I
ADDRESS
TELEPHONE#
PLUMBING PERMIT APPLICATI N
ADDRESS. /7o 4 T L�-�--1- -7 DATE 7 17 7 Z-- PERKT# . - O// Z 0.--,--,--Ezre f,„-__ __,.OWNER . ,„,-
, � /.
NATURE OF WORK S 6
NEW RELAY REPAIR IN'AIOl
SAN SEW f ti)C ilk, #
WATER / 6--,- Bathtub Sump Pump
STORM SEW. .Lavatory Ejector
■
Toilet Water Softener
INSPECTION DATE INSPECTION DATE , Tit. Sink _ Drinking Fountain
'Sink(other) Urinal
Waterheater Slop Sink
\ �j Shower Grease Trap .
!o�-� / Floor Drain Local Waste
`Laundry Tub Site Drain
Disposal Laundry Standpipe
*
.-Dishwasher Catch Basin
GO6
** Violation notes on the reveroe side(