HomeMy WebLinkAbout0043409-Plumbing (laterals)~o z_
CITY OF OSHKOSH N° 43409
n PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ / ~ ~..~-~ `-~ PLAN NO.
OWNER ~ ~ ~
DESIGNER
USE/NATURE OF WORK
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 ~~~" U
- BT - WH _ Disp _ WSoft _ CBasin
~
~ ~~ ~
- Lav _ Sh _ DW _ DF San. Sewer l
"'
- WC _ FDr _ SP _ Ur -Storm Sewer
-Sink _ LTub
_ Eject
~ SS i~
~ Water
Other
FEES: Valuation $ ~~
~
~~ - O' ~' Permit Fee Paid $ ~~ ~ ~ ~ Park Dedication $
//
~~
ISSUED BY iL~/I~
Date
T~
/ ~
L~_ Final/O.P.
In the pertormance~this work I agree to perform all~iork pursuant to rules governing the described construction.
ADDRESS
/` < "~J
DATE
?~ TELEPHONE ~
OWNEB
NATORE OF WG~
A'~IZ~G PE8~2 APPLICA?I
DATE
PLEB
PERPII?# ~`~ ~~ S
/~v~' ~ #
.,. ,~_ #
.S~vv ,/,~~y~s~
La
Dishwasher
Ejector
Water Softener
Drinkin a Fount
tit; nal
Slop Sink
.Grease Tran
Local Waste
Site Drain
Laundrv Stand
Catch Basin
e
** Vinigr; _., ,.~~es on th vets side