HomeMy WebLinkAbout0019059-Plumbing (laterals)ADDRESS ~ -~"
C~;~JNER
NATURE OF WORK
PLUMING PERMIT APPLICATION
DATE ~ ~ ~~ - PERMIT~~ J~ ~~
PLUMER ' ~e'
xRw RF.T.AY RF.PAtR INTERIOR
SAN SEW ~ ~k ~k
WATER ~ Bathtub Catch Basin
RM EW ~' Lavator Grease Trap
Toilet Sum Pum
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Sink other) Site Drain
/,y~-'~ ~/,~/G!~ Shower Laundry Stand Pipe
j° ~ T Floor Drain Laundr Tra
Dis osal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
finals Future outlets
** Violation notes on the reverse side
CITY OF OSHKOSH N° 19059
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS
OWNER_
DESIGN
USE/NA'
PLAN NO.
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation 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
BT WH _ Disp WSoft _ CBasin
- Lav _ Sh DW _ DF ~ San. Sewer ~~+i°!!C
- WC _ FDr SP _ Ur ~ Storm Sewer ~~~%'~~` ~~
-Sink LTub
Eject
SS N
~ Water ~ l(.~g,L2~
Other
~ ~
FEES: Valuation $ ~~L~7~ Permit Fee Paid $ ~ ~~~ Park Dedication $
ISSUED BY ~~ / ~ E~z ~ Date ~ ' =~-Z'j~d Final/O.P. 5-C~~ ~~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~~ ~~ ~/ ~E'$ o.33~S'- V' ~~ -- ~d
AGENT/OWNER DATE
ADDRESS
TELEPHONE #