HomeMy WebLinkAbout0012996-Plumbing (lateral)CITY OF OSHKOSH No 12996
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG~SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS X ~l~ `~n PLAN NO.
i r-.~ //
OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft
# Rooms
# Stories Height .
Class of Const. Occupancy Permit
Foundation
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 ~~'Y
- BT WH Disp WSoft
Lav Sh DW -DF
WC FDr SP Ur
Sink LTub Eject
Other
- CBasin
-San. Sewer_
-Storm Sewer
SS Water
FEES: Valuation $ f3~S P rmit Fee Paid $ ~ Park Dedication $
ISSUED BY Date Final/O.P.
In the performance of th~ wgrk I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
ADDRESS
DATE
TELEPHONE #
~]-, P DI~ffiING PERMIT APPLICA ON
ADDRESS ~~~ / DATE ~~-~ PERMIT# ~~_La~~
OWNER / PLDl~ffi
NATURE OF WORK t~
NE[i7 RFT_Ot- 41t9STD r~Tn.n~nrn
~o ;3~
W R Bathtub batch 3asza
Lavato Grease Tra
T filet. g p
D TE INSPEC3TON DATE Kit. Sink Local Waste
/ Siak(other Site Drain
Z L ~ ~ /~
~ Shower auad Staa Pi e
/
/// o Drain auad Tr
Dis oaal Wat. Softaer
Dishwasher D. Fountain
Water Heater. E actor
Future outlets
+tir v . d