HomeMy WebLinkAbout0032369-Plumbing (replace DWV water pipe) �%�
� CITY OF OSHKOSH N° 32369
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS �a� `-'¢°""' PLAN NO.
.._-- ` n
OWNER �'"" �
DESIGNER
�
USE/NATURE OF WORK + / ��V � •V�� "`'' p � � �' `�
BUILDING CONI'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
� Fixtures Switches Receptacles Circuits
i �_
PLUMBING CONTRACTOR��
�BT �WH —Disp WSoft —CBasin �
�Lav —Sh —DW —DF San. Sewer
� WC —FDr SP Ur Storm Sewer
�ink —LTub —Eject —SS —Water
Other
FEES: Valuation $ ��a O , O d Permit Fee Paid $ Z �' � � v Park Dedication $
ISSUED BY t�y Date � � 3 9� Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �'� �j�`�` � �—� � � /�
AGENT/OWNER DATE �
ADDRESS
TELEPHONE#
pLDI�ZNG pERMI? APPLIC�ZZON
:�DDRESS �0.� �-� DATE �� �S -9 � PER�T$ ,� s�- 7�o J
OWNEB °''^'` � PLUI�L'R `
NATQRE OF GTOR� � 1� �
NS[,T REZAY BEPAIR RI08
SET� � �
;�p�g Bathtttb ' Sum Pu
I,avsto Ej ector
?oilet Water Softener
'g pi� Dp1E IpSPECTZpN DA� Rit. Sialc Drinkin Fountain :
O � � 8 i.ak(o ttie r •
�� � ' ��� � SZ / W te heater Slo Sink
G ease Tra
� / p - � Floor Drain Local Waste
Laundry Tu Site Drain
Dis osal Laundr Stand i e
Dishwasher Catch Basin
** Violation notea on ttse rever�e �ide