Loading...
HomeMy WebLinkAbout0030075-Plumbing (lateral) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 30075 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT OWNER I b-S b #~ 6-- .A-.-.- s: ~ L....LL~~ PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK M5F(( o --LL ~/ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp D Type _ Volts _ Amps_ ~ Fixtures Switches Receptacles Circuits In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE #c;i!/ ~A::: ADDRESS ;j~J 4 J!~ O-I&:-9L~ AGENT/OWNER DATE ~-f? TELEPHONE # .../6s-t #~~G-~PLmmING p!:maT APPLICATION ADDRESS ,&, /0 ~ .P ,. - IW% & L--" ';':;;;L .~T# 0I/IIEl!. S~ ~/~ . ~I / /'I (f ~ ./~ NA'l'OU OF YOlUC As Ff< - 0~ NEti REI.AY REP AIIl . RI OIl :> OO?S- -sf SAN SEY YfJC # # WAn:R /~ Bathtub Sumn Purno . S~ Vi'vC Lavatory Ej ector Toilet Water Softener INSPECTION DAn: msncnOH DA'm Kit. Sink Drinkin ~ Fountain wjsT .5 b/~-G Sink( other) TT....in"'l W;:tterheater Slop Sink ~hr"'='" Grease Tran Floor Drain Local Waste > Laundry Tub Site Drain ~ Disposal Laundry Standpipe Dishwasher Catch Basin ii'/ ** Viola~ion notes on the reverse side{