HomeMy WebLinkAbout0020139-Plumbing (remodel) n CITY OF OSHKOSH N° 20139
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS �`'Z� �" = � PLAN NO.
OWNER � `��
DESIGNER
USE/NATURE OF WORK '\
BUILDING CON7RACTOR
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 • "� ` -
_BT —WH —Disp —WSoft CBasin
�Lav —Sh —DW DF —San. Sewer
3 WC —FDr —SP � Ur —Storm Sewer
—Sink —LTub —Eject —SS —Water
Other
FEES: Valuation $ �'�� '� Permit Fee Paid $ ��' �p Park Dedication $
ISSUED BY � Date � � �3 ^� Final/O.P.
In the performa ce of t s r re perform all work pursuant to rules governing the described construction.
SIGNATURE
27 4 0
AGENT/OWNER DA E
ADDRESS
TELEPHONE#
.�.•-_ --_ . ,.,,...._.�
,
PLUMB N PERMIT APPLICATION
� �� !/N�� C/�/ , .'- GL, � a � � _PERMIT �� ��/-3�
ADDRE S S �,DATE �-
OWNEt� , � PLU1rBER ����'n.--
NATURE OF WORK � �
. �
NEW RELAY REPAIR INTERIOR
SAN SEW �� ��
WATER athtub Catch Basin
STORM SEW avato Grease Tra
Toilet Sump Pum
NSPECTION � DATE INSPECTION DATE Kit Sink Local Waste
- Sink(other) Site Drain
/ �//�' ���7� Shower Laundry tan pip�
�/� �� b' Floor Drain Laundry Tray
Disposal Wat. So tner
Dishwasher D. Fountain
Wa.�er Heater Ejector'
Urinals Future outlets
** Violation notes on reverse side
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