HomeMy WebLinkAbout0024056-Plumbing (laterals)/`'~ CITY OF OSHKOSH N4 24056
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG J~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~~ [I f ~/ 0 ~ K / 0 sJ 6 ~ ~, ~ 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 ^
Fixtures Switches
Temp ^ Type
Receptacles
Volts Amps
Circuits
PLUMBING CONTRACTOR
- BT - WH - Disp - WSoft CBasin ~~"
- Lav _ Sh - DW _ DF _L San. Sewer y a PL ~
- WC - FDr _ SP - Ur -Storm Sewer
-Sink _ LTub - E'ect
1
SS ~
--~- Water 1 '~Si L' 4
Other
FEES: Valuation $ ~ ~ Permit Fee Paid $ ~ ~ • r Park Dedication $
ISSUED BY ~ Date 7 ~' a- - 9/
Final/O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
`''~~ s
SIGNATURE ~/
AGENT/OWNER
ADDRESS
~ - si
DATE
TELEPHONE #
PLUMBING PERMIT APPLIC IO a
ADDRESS ® "" G> DATE ~ r PERMIT/~ ~/ ~'~~
OWNER '~G--<~.` PLUMBER I~~,LTu~~~'~
NATURE OF WORK ~f~l,U ~lj+~LG~~I l `~.~, r r~I~~PK 7 +~ s~GC.yyK
i.nr~ ~ ncT AV DL'D ATR TNTF'RTnR
SAN SEW
WATER
SEW 1`I L' YY
%~ Q J L
~u LW Lna - - --
11
Bathtub
Lavato
4k --
catch Basin
Grease Trap
Toilet Sum Pum
INSPECTION DATE INSPECTION DATE Kit. Sink
Sink other) Local Waste
Site Drain
-
S/(,J Ste' g'S~ Shower Laundry Stand Pipe
1 Floor Drain Laundr Tra
Dis osal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
finals Future outlets
** Violation notes on the reverse side