HomeMy WebLinkAbout0026910-Plumbing (laterals)/`'~ _CITY OF OSHKOSH N° 26910
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG (~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS
~ ~f ~
OWNER
DES
USE/NATURE OF WORK
S~~
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
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
-BT -WH
- Lav - Sh
- WC - FDr
-Sink - LTub
Other
Volts Amps
- Circuits
- Disp - WSoft CBasin
- DW - DF ~ San. Sewer ~ ~~ C
- SP - Ur -Storm Sewer
-Eject - SS ~ Water
FEES: Valuation $ ~~Q ~ ° o ~ Permit Fee Paid $ ~~' ~ ~ Park Dedication $
ISSUED BY ~c~~~~~-~-- Date ~' ~l `~~-
Final/O.P. /1- !1- q,
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
S ~33a- s~
ADDRESS
AGENT/OWNER
/~ / ~ ~y~
DATE
TELEPHONE #
_, LUMBING PERMIT APPLICATION
AOWNERSS G- ~.~-~~ DATE ~~ /~' ~ ERMIT~ `-C S/d
PLUAIDER
NATURE OF WORK ~I/~--J .S'F ~ lJ'
NEW RELAY REPAIR INTERI
AN SEW ®+~ ~ ~
WATER ~`
Bathtub batch Basin
rrnaM errs
•..IL i.V it VLF uesjr, irsPECTIpN DATE Kit. Sink Local Waste
S/~ ~/~ ~/ Sink other Site Drain
Shower Laundrq Staad Pipe
1 Wat. Softner
he D. Fountaia
eater E ector --
Future outlets
'~`'* ~~ e n he averse side