Loading...
HomeMy WebLinkAbout0028095-Plumbing (laterals) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 28095 ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ _ ~~E~ _ C? _ ~~B~ 1_ ~I~~ _~ _ ~O_N~N_G _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ g/o~ L~~ ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK Alsr-IZ- 6 ~~ 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 Fixtu$es New 0 Change 0 Temp 0 Type _ Volts_ Amps_ Switches Receptacles . Circuits ~ PLUMBING CONTRACTOR .--;- I 'v~/-- ~~ C--~ _BT _WH _Disp _ WSoft _Lav _Sh _DW _DF _WC _FOr _SP _Ur _Sink _ L Tub _ Eject _SS Other _ CBasin -L San. Sewer _ Storm Sewer -.L Water cf Ic/c (~ FEES: Valuation $ ISSUED BY b~cl.d~ ~tt Permit Fee Paid $ Date V /~ c a . Park Dedication $ ~ /3/7 ""Z..- Final/O.P. -3 -- 3 0 ~ c; -;l. / In the performance of this work I agree to PiJorm all work pursuant to rules governing the described construction. SIGNATURE O-f f J ~ V AGENT2ER DATE ADDRESS TELEPHONE # ADDRESS OWNER RArou ~9cJ LeG OF tJOlUC NEt. PLmtBINC P!DIT APPLICATION DAD 3/-)O/9~. nmaT# ,L~u 7'S- PLmmER -77J'"Vlt //;;/2--. I~~ /~ ~~;?h~ SAN SEtJ 4 if cf?I/C # I wADE. J 1 /d~ ~;----- Bathcub Sumn Purno ~v.t: L&vata~ Ejector Toilet Water Softener !NSP~CTI.ON DA'l'!: INSPECTION DAm lti t: . Sink Drinkin" Fountain r- 3/56;'2- Sink{other} Tho;"", 1 Waterheater SloD Sink Grease Tran Floor Drain Local Waste .. Laundry Tub Site Drain :. Disoosal Laundrv Standoipe Dishwasher Catch Basin REI.AY REPAIR IN'1'ZlUOa ** Viola~ion noees on the ~eve~se side{