HomeMy WebLinkAbout0022438-Plumbing (interior) �
� CITY OF OSHKOSH N°_ 22438
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT t
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T,._
ADDRESS�z� �d ''2 T � 7 � PLAN NO.
OWNER �-'�'� ��� S� �
DESIGNER :
USE/NATURE OF WORK °�-E'-�-� �
�
BUILDING CON�'RACTOR
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
Fiutures Switches Receptacles Circuits
PLUMBING CONTRACTOR J
�BT ZfNH Disp —WSoft CBasin � �
'�Lav —Sh _DW _DF —San. Sewer
�WC �FDr —SP Ur —Storm Sewer
,?' Sink Z L�trb �4 e� —Eject —SS —Water
Other �`- ��..�
i S � 1�
FEES: Valuation $ ��° G� "� Permit Fee Paid $ 7� • � �' Park Dedication $
I S S U E D B Y W(}'�"`�`''� D a t e � � 9� F i n a l/O.P. ���a� - `�'
In the performanc of this w rk I r to rform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER DATE
ADDRESS
TELEPHONE#
. , � PLUIrBING PERMIT APPLICATION
� " Z�-�3�
ADDRESS ��� ~'� � �" DATE ��� %�'�%�' PERMIT��
�
pt,INE R '' -��� �- P LiJNIB�R �% ��'?��..,
. /J > ,"
NATURE OF WORK .�-w - '- :�rL� ,
NEW RELAY REPAIR INTERIOR
SAN SEW 4k ��
WATER Bathtub Catch Basin
RM SEW Lavator / J/ Grease Trap
� Toilet Sum Pum
INSPECTION DATE INSPECTION DATE it. Sink / / Local Waste /
�r � � Sink(other) Site Drain
Ld� .���— ;�� j V/�' �� / Shower Laundr Stand Pi e
+�.� (/V'.� � /S) 3/� ��j/pK 3/i G Q� 1�� Floor Drain Laundry Tra p , �
/ �
� G,���.� %' Dis osal Wat. Softner
� Dishwasher D. Fountain
�C� ��� ,J �+ D Water Heater Ejector
'���'�� ✓� �i rinals Future outlets
�� �` � Gt�C' .� l 3 3/� ��B F'��,.�, -�- ���
f�l�� � C .��. 1 D 4 . •
u� �
** Violation not he reverse side
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f* ' PLUI�ING PERMIT APPLICATION
ADDRESS �'°'2 � � • ��`�
DATE -� d a 9/ PERMIT�� Z S�o �j�
�R �� ,e PLU1��R � �rc�--�-
NATURE OF WORK �._e � �'-�� � � g`
NEW RELAY REPAIR INTERIOR
SAN SEW �k ��
WATER Bathtub Catch Basin
�M S� Lavator Grease Trap
Toilet Sum Pum
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Sink(other) Site Drain
Shower Laundry Stand Pipe
Floor Drain Laundr Tra
Dis osal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
inals Future outlets
** Violation notes on the reverse side "