HomeMy WebLinkAbout0025450-Plumbing (laterals)_CITY OF OSHKOSH N° 25450
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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/' i ,-, /~ /? n
ADDRESS ~'
OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft
Foundation
# Rooms # Stories
Class of Const.
Height
Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
BT - WH _ Disp
Lav -Sh -DW
- WC FDr SP
-Sink - LTub -Eject
Other
Volts Amps
- Circuits
WSoft - CBasin t ~~ ~~
- DF ~ San. Sewer ~" r J C
Ur -Storm Sewer
- SS ~ Water ~ ~-
FEES: Valuation $_ ~~ ~ ~ . O ~ Permit Fee Paid $ ~O ' n y Park Dedication $
ISSUED BY ~ Date 9'~ ~'- 9~ Final/O. P.
U
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
ADDRESS
DATE
TELEPHONE #
~ 7
OWNER ~~-~
NATURE OF WORK _
NF2W
RF.T.AV RF.PA
PERMIT APPLICATION
DATE ~ ' °z~~
PLUMBER ~-~-'~-~~'
w ~- «--
iNTERi~R
PERMIT~~ ~ S~ `~~o
SAN SEW ~®lJ G- # ~k
WATER ~--c~ Bathtub Catch Basin
Lavato Grease Trap
Toilet. Sum P
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Sink other Site Drain
~..,,.-Q-i~~ t~~d ~~L~ ~" ~ ~ Shower Laundry Stand Pipe
Floor Drain Laund Tra
Dis osal Wat. Softner
Dishwasher D. Fountain
Water Heater Effector
al Future outlets
C
*~ V' la ion ote on the reverse side