HomeMy WebLinkAbout020038 - Plumbing (new SFR) CITY OF OSHKOSH N°_ 20038
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG 61 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /7/ 17i PLAN NO.
OWNER C
DESIGNER �I
USE/NATURE OF WORK ' "• S F
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 �""_"" "�''�`�
/ BT / WH / Disp WSoft CBasin
3 Lay •2 Sh DW DF San. Sewer
3 WC / FDr / SP Ur Storm Sewer
Sink LT-ab,Q C.) Eject SS Water
Other
-�2 G• G c)_ Permit Fee Paid ee•0�� / Park Dedication $
FEES: Valuation $ $
ISSUED BY �-G Date ".7 Final/O.P. i/. / 7,
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
J ` Q"
SIGNATURE �, �i'" ,V � 7i l� 3/ 7 f' Y0' 0 — t'e2
/ AGENT/OWNER DATE
ADDRESS / ,742.� , A..,`� ..7/ Z c h. �` / 7`J17 Ll%l`/
TELEPHONE#
PLUMING PERMIT APPLICATION
ADDRESS , 9/d{I X.1231- ;e4iteif---, DATE f_9 � —
r _ �
OWNER r a -.r... _ .iii PLUMBER /_ , far ., _
NATURE OF WORK rau –,4t./_ _.1-12,42d--t--'
i &_ 0 '' , /
NEW AY REPAIR 'TER 4R
SAN SEW # #
WATER / Bathtub / Catch Basin
STORM SEW, g Lavatory //r Grease Trap
1 Toilet /// / Sump Pump /
INSPECTION DATE INSPECTION DATE / Kit. Sink / Local Waste
Sink(other) Site Drain
--. / ) ./ y 1 Shower // / Laundry Stand Pipe/
/ Floor Drain / Laundry Tray
/ Disposal / Wat. Softner
Dishwasher D. Fountain
, / ,Water Heater/ Ejector
Urinals Future outlets
A=64/4eflaiNgiOtte:itrig--- .
** Violation notes on the reverse side