HomeMy WebLinkAbout02958 - Plumbing (remodel) CITY OF OSHKOSH N2 02958
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG A SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS _''/62 /2/74 6.'/7 /Z..c'v-\ PLAN NO.
OWNER J& �' /'/
DESIGNER
USE/NATURE OF WORK r'E':-z-%c1-c. 7 , 5I`1< i 4 --;.,zz1 . Gam%1-k 4 ZZA.
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 (? L
BT WH Disp WSoft CBasin
T Lay Sh DW DF San. Sewer
4_WC FDr SP Ur Storm Sewer
/ Sink LTub Eject SS Water
Other
FEES: Valuation $_/),, 6) j Permit Fee Paid $ ,� Park Dedication $
ISSUED BY -_ Date --��3 4'2 Final/O.P. 5-- III Ell
In the performance of t.is work I agree to perform all�dr pursuant to rules governing the described construction.) 7/1
SIGNATURE A� .__ ' ti Z ' 2 ,�
AG qgNER DATE
ADDRESS
TELEPHONE#
PLUMBING PERMIT APPLICATION
PLUMBER ` l/ 4-4,-,\ DATE ;.x%73 4.2
NAME OF OWNER V�-e,� / '-p ( ADDRESS 0/Q 7 /2r''�� ,,c,„.,.,,
`'f 3//4, r
`37 y
/'- c- i /6:/c'j-e
NEW SAN. WATER STORM RELAY SAN. WATER STORM i
Main to Curb Main to Curb lI
Curb to Bldg. Curb to Bldg. ,
Elect. Pumps Repair
Septic Tanks
NEW REP. NEW REP. NEW REP.
Bath Tub , Gar. Disposal Catch Basin
Wash Basin 7 Dishwasher Conductors
Water Closet j Laundramats Grease C.B.
Sink 1 Water Softener Sump Pump
Water Heater San. Bubblers Bar Wastes
Shower Bath Urinals Range Boiler
Floor Drain Dental Cuspidors I Future Outlets