HomeMy WebLinkAbout034121 - Plumbing (NSFR outside) CITY OF OSHKOSH N® 34121
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 / F / ���ti• `'er-'`i PLAN NO.
OWNER —*C/G!t---r.-v�----e- - C—c.e .- /74-2„„,...w-,---'
DESIGNER ['
USE/NATURE OF WORK �S� ,\ - �� -��`'��'z� /
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 ',10- -(i� E /�-��--
BT / WH Disp WSoft CBasin
Lay Sh DW DF ( San. Sewer ((i" l) C
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS / Water ` .'-c---
Other
FEES: Valuation $ 7 0 C) ' f) Permit Fee Paid $ 2 �' Park Dedication $
ISSUED BY Date s7 s/2--? Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE c-P` -. -c .�/2J /
AGENT/OWNER ' DAT
/7/i / f-C l-/-/.0"e- ,i j /2t"'- e 2.5-6
TELEPHONE#
PLDi'2ING PERMIT APPLICATION
ADDRESS -2- / /V' V -tee,,,,,,-.
DATE 5'<_
OWNER PERMIT*PERMIT# -3 K/-2/
NATURE OF WORE AV I C/- i - C;' /2'e
NEW RELAY .
®-=_ • RIOB
SAN SEiJ
WATER -�-'Bathtub
EMI Sum. Pu 4
11P- ,. A 111111111 1111P=M1111111111111.1111.?oiler Ej ector
P CT/ON DATE /NSPE ON DATE Kit. Sink Water Softener
Sink( = Drinkin • Fountain
,yAi z--- /h, _ Slo. Sink
Ell G ease Tra.
Floor Drain - Local Waste
Laundry Tu.
IIII Site Drain
Dis.osal = Laundr Stand.i.e
40 Dishwasher Catch Basin
- t- - 4e ide