HomeMy WebLinkAbout0024057-Plumbing (laterals) CITY OF OSHKOSH N9 24057
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG A SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS bzd 8 63 /i,J
PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK �=-v S =�C� Fe,...-,,,
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 ff ae
X.Jefe___.
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer V C
J
WC FDr SP Ur 1 Storm Sewer T Ot/C
Sink LTub Eject SS Water
Other
FEES: Valuation a 15 0 Permit Fee Paid 3°N d 6 Park Dedication
ISSUED BY Date 7 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE "4,{
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLUMING PERMIT APPLICATION
ADDRESS /-;202 63 .�..7 G{ DATE 3 7/ PE IT X KO �7
OWNER T PL l ER 4,-....--e; NATURE OF WORK 0
I
NEW RELAY REPAIR INTERIOR
SAN SEW 1 1 G WATER athtub Catch Basin
STORM SEW se pU C. Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste
ty/v s =/S Sink(other) Site Drain
Shower Laundry Stand pipe
Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
_Urinals Future outlets
Violation notes on reverse side
1