HomeMy WebLinkAbout0020024-Plumbing (laterals) CITY OF OSHKOSH N° 20024
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG af SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 2.s PLAN NO.
OWNER lc eY'- L
DESIGNER
USE /NATURE OF WORK S 6L...) ^--0
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
H —MATING 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 M U 4---
BT WH Disp WSoft CBasin
_Lay Sh DW DF San. Sewer K 1 v G
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS _L Water '4
Other
FEES: Valuation G /�jJ Permit Fee Paid 2 G 9 b V Park Dedication
ISSUED BY C y dii r Date 7 t� Final /O.P. Q 'o? -90
In the performance of this work I agree to .erform all work pursuant to rules governing the described construction.
SIGNATURE C /A-(' i 9
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS /2S C �2 DATE e"— 7 go PERMIT#
Q
OWNER r` G L PLUMBER 7 J°--
NATURE OF WORK S
NEW RELAY <11 REPAIR INTERIOR
SAN SEW T P J C
WATER a, Bathtub Catch Basin
STORM SEW, Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Sink(other) Site Drain
0 K 9 8- 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 sidel