HomeMy WebLinkAbout0020138-Plumbing (laterals)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
20138
TYPE:
BLDG D HTG D ELEC D PLBG:~ SIGN D ZONING
FLOOD PLAIN
HEIGHT
DESIGNER
/'7/D ~
K~f~
S,~/tOaL
/
PLAN NO.
ADDRESS
OWNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
'HEATING CONTRACTOR
Heat D NC 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
PLUMBING CONTRACTOR
D ~R. ~
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF ~ San. Sewer y puG
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _LTub _ Eject _SS L Water I L-
Other
FEES: Valuation $ ;;t.s<:>o. 0 0 _
ISSUED BY L. . ~
Permit Fee Paid $
Date
~ ,. b 0
~,,~'3-?O
Park Dedication $
Final/O.P.
AGENT/OWNER
SIGNATURE
ADDRESS
TELEPHONE #
ADDRESS
"OWNE R
NATURE
/~
0: wo~ - M: ""- ~ 1;.
PLUMBING PERMIT APPLICATION
DATE 8'''~ - ?t!i PERMIT4F
(). ~,~
/973 (,
.;70/5 g
PLUMBER
1..R~:ef 1?1
SAN SEW '-Iff PJ( 4F 4F
WATER I " C-<.A Bathtub L Catch Basin
STORM SEW ~ Lavatory Grease Trap
2.- Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Sink(other) Site Drain
/' Shower Laundry Stand Pipe
, Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
I Water Heater Ejector
Urinals Future outlets
NEW
RELAY
REPAIR
INTERIOR
, ,J..iJ . 0 ()
1** Violation notes on the reverse sidet