Loading...
HomeMy WebLinkAbout0008119-Plumbing (tub, lav & toilet) � CITY OF OSHKOSH N° 081 � 9 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS PLAN NO. OWNER �/ ,��.� .��� DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit FfEATING 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 �Lav _Sh _DW _DF _San. Sewer �WC —FDr _SP _Ur _Storm Sewer —Sink _LTub _Eject _SS _Water Other o� � FEES: Valuation $ Permit Fee Paid $ Park Dedication $ ISSUED BY Date � Q Final/O.P. �0 ' �� � /0 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ���� AGENT/OWNER DATE ADDRESS TELEPHONE# , �.l PLUI�'BING PERMIT APPLICATI N ADDRESS � �e� DATE �' PERMIT�� V��I OWNE R P LUI�ffi�R _ hiATURE OF WORK ��C� �:t ��rn:-t_c NE[d RELAY REPAIR INTERIOR s SAN SEW �k �k WATER Bathtub Catch Basin T RM SEW 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 6/� � �e� r�,v� Dis osal Wat. Softner � Dishwasher D. Fountain Water Heater Ejector rinals Future outlets ** Violation notes on the reverse side