HomeMy WebLinkAbout0025307-Plumbing (laterals)_CITY OF OSHKOSH N° 25307
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ,~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ~S~ PLAN NO.
OWNER
DESIGN
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
BT WH
Lav Sh
- WC ~ FDr
-Sink LTub
Other
Disp WSoft
DW DF
SP _ Ur
-Eject SS
CBasin
San. Sewer ~ ~ ~ c
-Storm Sewer
Water ~ ~'~'--
FEES: Valuation $ ~ .S"~ ° - ° ~ Permit Fee Paid $ ~` ~^ ~ ~ P
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ISSUED BY ~`-~ ~ Date 9 ` ~~~ ~~ Final/O.P. `> `~~ ~ ~'/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
ADDRESS--
OWNER
NATURE OF WORK +
tea
~ s"~ ®, ~ ~
PLUMING PERMIT APPLICATION
ti-c DATE ~ " ~ %~" ~` PERMIT~~ ~ ~-3 ~ 7
PLUMER f~~'°°~°~-~
~` 9'-' -
AFT ev RF TRH TNTF RTl1R
SAN SEW V ~- # ~~
WATER C~-w Bathtub Catch Basin
Lavato Grease Trap
Toilet S Pu
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
~~ ~ Sink other Site Drain
s ~ Shower Laundry Stand Pipe
~ Floor Drain Laund Tra
_ ~ Dis osal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
' al Future outlets
*'* V'olation notes on the reverse side
- G~
;~~~ ~~