HomeMy WebLinkAbout1994-Plumbing (install city sewer & water) z
yc/
N° 37646
/� CITY OF OSHKOSH
`' PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS PLAN NO.
OWNER
�
DESIGNER
USE/NATURE OF WORK i,�Yi�'�i2 O� ���,��T�(�
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
r ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
� Fixtures Switches Receptacles Circuits
PLUMBtNG CONTRACTOR Cri'f7I"1'i-�'j"'�
—BT _WH _Disp _WSoft CBasin �/,';
—Lav _Sh _DW _DF �San. Sewer ! � �� �
—�NC _FDr _SP _Ur _Storm Sewer
—Sink _LTub _Eject _SS �Water � �,c..,.�
Other v
o�ra
FEES: Valuation $ � ��• Permit Fee Paid $ ��� �� Park Dedication $
ISSUED BY Date " Final/O.P.
c2� �
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 'r
A /OWNER M DATE ��
ADDRESS
TEIEPHONE;Y
�a/
PL�IP� PERMI? APPLIC.�ZZON
' �1DDRESS ��� Z� DATE ' � o .� PLR�T# ��7�D y(p
OWNEB pLIIl�Eg ' --�«i-i�����.�
,
NATORE OF W
NE[d RELAY BEP R INIERI08
,`: SAN SEW # #
WATER Hathtub
Sum Pu
Lavato Ejector
' ?oilet Water Softener
. Sp �� �� ���� �� �t• si� Drinkin Fountain
; � � ,- 3iak(other .
�����`2/� �'��" W te heater Slo Sink
G ease Tra
Floor Drain Local Waste
Laundry Tu Site Drain
Dis osal Laundr Stand i e
- Dishwasher Catch Basin
** Violation notes on the reverae �ide