HomeMy WebLinkAbout0016813-Plumbing (laterals) CITY OF OSHKOSH N2 16813
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS %0 /liY7 ,r 7C'v -w C PLAN NO.
OWNER AI 'J. .N_-
DESIGNER
USE /NATURE OF WORK 4_5 Gti2-c 4 9 7 s"'ct� 'ri4
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 -?/>L 7 ;14 -10e_,€ A
BT WH Disp WSoft CBasin
t v Lay Sh DW DF /San. Sewer L
WC FDr SP Ur Storm Sewer
—Sink LTub Eject SS Water "3:ze
Other
o+
FEES: Valuation to Permit Fee Paid .2.0 Park Dedication
ISSUED BY
Date AA0 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE J∎
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS /(b f
C -a.. DATE ZIZf
OWNER 1 i PERMIT
PLUMBER /27/4c
NATURE OF WORK
L GciLC.7
RELAY NEW
SAN SEW INTERIOR
A
WTE R
W A T E R SEW S1Ni�athtub
Catch eas e Basin
avato Gres Tra•
N PECTION DATE INSPECTION DATE =Toilet Sump Pum.
Z Local Waste
/(:6
S Sink(other)• Site Drain
ii /t5/
lower Laundry tan. pipe
=Floor Drain 111111 Laundry Tray p
ill Disposal Wat. So tner
Dishwasher D. Fountain
Ejector'
Future outlets
Violation notes on reverse side