HomeMy WebLinkAbout0007066-Plumbing (laterals) CITY OF OSHKOSH N2 07066
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS —Z2 2 cl- PLAN NO.
OWNER y ew
DESIGNER
USE /NATURE OF WORK 4_ .X_
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 /2_ 6
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water G (Pre---
Other v
FEES: Valuation /`7:>n Permit Fee Paid Park Dedication
ISSUED BY_____7,e___--------- Date v21(. Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE J e
AGENT /OWNER DATE
ADDRESS
TELEPHONE
Cam( PLUMING PERMIT APPLICATION
ADDRESS -2,27 cni
OWNER -/../3..v4 DATE 9 PERMIT e2.2/)(„6 i.4i. /PLUMBER y
NATURE OF WORK ��&A./ q�4 T/ L-C
NEW RELAY REPAIR INTERIOR
SAN SEW Irma
WATER M
STORM SEW 1111111141 °athtub Catch Basin
III avato Grease Tra.
NSPECTION To ilet Sump Pump
DATE INSPECTION DATEIIIKit Sink
Local Waste
•Sink(other)
(fLel,e' /C-/7Q ,5 Shower Laundry tan. pipe
Site Drain
Floor Drain Laundry Tray
Disposal Wat. So tner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
Violation notes on reverse side