HomeMy WebLinkAbout0040788-Plumbing (laterals)~~ ~
CITY OF OSHKOSH NA ~ 40 X88
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ -SIGN ^ ZONING FLOOD PLAIN HEIGHT
-----------------------------
ADDRESS ~~ ~"2~~ ~ `~~ ~~' ~= PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK ~~•`~~~ ~~~ ~~~-~~"---{-
BUILDING CONTRACTOR
Size
Foundation
r ~ ',
Sq. Ft.
# Rooms
# Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR L
BT _ WH Disp - WSoft ~CBasin ~~~~
~ ~~~`_
Lav _ Sh DW DF San. Sewer
WC FD --
r
~
~
- r
_ _ SP _ Ur Storm Sewe
/
~
`
`~
-Sink LTub Eject SS .~ Water
!
` -°'-
Other
C
^ ~~~ ~,
~~ '~~ ~ ~
~ `~
FEES: Valuation $ -
^ Permit Fee Paid $ ' Park Dedication $
ISSUED BY ~-~~~~ Date ~ °c ~ ~~ Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
~~
SIGNATURE \~~~~.ia(~ ~~r~~0.~'.~ °'z S-- ~7-~17`-~~
/~ ~ ~,AGEN~T/OWNER DATE
ADDRESS ~ Li,~ ~/ ~~~...~-c~c ~ Gv.Co~~~, ~~ -,~y~7 .~
TELEPHONE #
.~- PLDI~ING PERI~T APPLICATION
OWNER ~ ~ - y ~...- ~~~ :: ~ ~ ~ ~- < <. •-- ~ ~--- r a.a.
NATQRE OF WORK ~~~= -; S~ ®,r~..,~~ ti-~- a.-~~.L-
.w e~~w • ~r T*1Tf-4TAR
~.~ C:1
pEffi~T~ ~~,~~~
sAN sEw l~G~~
~~~~- c~a~.a.ssa ..ra s.~•.
~' -- -
# -
~JATER Bathtub Sum Pu
Lavato Ejector
Toilet Water Softener
N pECTI DATE INSPECTION DATE Rit. Sisk Drinkin Fountain
S ialc(o they
~' ~
~ ]~ ~
~ W to heater Slo Sink
~
ky
~G~~~' /( G ease Tra
% Gj
~ Floor Drain Local Waste
~~~~
~ Laundry Tu Site Drain
Dis osal Laundr Stand i e
~/~ ~- ~/7 % ~ Dishwasher Catch Basin
** Violation notes on the reverse side