HomeMy WebLinkAbout0018315-Plumbing (lateral)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
18315
TYPE: BLDG D HTG D ELEC D PLBG ra SIGN D ZONING
FLOOD PLAIN
HEIGHT
........... --......... -- - -- -... -- - --- --................................. ---.......... --..... --... --.......... ---... --........ --...
OWNER
;i~b<~~fysrc
4./)' PLAN NO.
/
ADDRESS
DESIGNER
USE/NATURE OF WORK
<... S""UA./~> t4/C:;:>t?
f
v S;Cft^/~
. BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Foundation
Class of Cons~.
Occupancy Permit
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
_WC
_FOr
_ L Tub
t-~.../J- g x'<'a ~~.?:? / h A _
.. -',-
_ Disp - WSoft "- CBasin 'f.
_OW _OF -/-san. sewe;-/'h'C
,,-::, ~ //
_ SP _ Ur --I- Storm Sewer LV /,V l..
...; /~
- Eject - SS +- Water 7' ?:7Y<---
PLUMBING CONTRACTOR d'0
_BT _WH
_Lav
_Sh
_Sink
Other
.L.~7... c&
FEES: Valuation $ JUV
ISSUED BY fi'd/c7O"--/'"
C/v V"'-'
Permit Fee Paid $ ( 1 ()
Date :s:..1/--'?'tJ
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuanr ~o rules governing the described construction.
SIGNATURE
a~.t Iff(~
tJ AGENT/OWNER
~I';f.s 3hS'~
DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS /76'/ Wa? ~:/i!!'y(,,,,~ 1M DATE
OWNER 6 c; h (p.V' I- d:::-_~2 PLUMBER
NATURE OF WORK 5"~ tr--f ~q ,t--",---
o-<j~?o PERMIT if 1~315
/:;c'(/ h C'A.-- L- ~y C ?Vf/Qh-"-.
SAN SEW 4'1 if if
WATER je, Bathtub Catch Basin
STORM SEW , //" Lavatory Grease Trap
Toile't Sump Pump
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste
Sink(other) Site Drain
Sh'ower Laundry Stand p~pe
Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Founta~n
Wa,ter Rea ter Ejector
Urinals Future outlets
NEW
RELAY
REPAIR
INTERIOR
1** Violation notes on reverse sidel