HomeMy WebLinkAbout0020025-Plumbing (laterals) CITY OF OSHKOSH N° 20025
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG,e SIGN ZONING FLOOD PLAIN HEIGHT
2
ADDRESS C Z_
PLAN NO.
OWNER a')--
DESIGNER
USE /NATURE OF WORK S C/ o
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 r a
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer 0 J C
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water /7.-
Other
FEES: Valuation /06 Permit Fee Paid Park Dedication
ISSUED BY Date g "J7 '9 Final /O.P. E 't: /d
In the performance of this work I agr e to perform all work pursuant to rules governing the described construction.
SIGNATURE y- 0- c' z�3
AGENT /OWNER DATE
ADDRESS
TELEPHONE
n PLUMBING PERMIT APPLICATION
ADDRESS i DATE 2 /7 S o PERMIT# G O°?L
OWNERe� L ter
PLUMBER
NATURE OF WORK
NEW RELAY REPAIR INTERIOR
SAN SEW y 0 J C
WATER /,z Bathtub Catch Basin
STORM SEW Lavato Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Sink(other) Site Drain
H Shower Laundry Stand Pipe
Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
f** Violation notes on the reverse side!