HomeMy WebLinkAbout0019181-Plumbing (laterals) (II-6) OF OSHKOSH No 19181
OF
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG ,Q SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /17L-5 C i m e s v PLAN NO.
OWNER tfi+ c
f
DESIGNER
USE /NATURE OF WORK -d--
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 /lig:, L' -1_. 47 �4
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer a P.--C
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water C"'r/f
Other U
FEES: Valuation b c_) Permit Fee Paid Park Dedication
ISSUED BY Date d 'tP 7
Final/O.P.
In the performance of this work I agree to perform all w rk pursuant to rules governing the described construction.
SIGNATURE ea. 6 ‘,9Y- 90
AGENT /OWNER DATE
ADDRESS
TELEPHONE
g5 PLUMBING PERMIT APPLICATION
ADDRESS 1 DATE V 9 c PERMIT1k
OWNER er7u _+/!i/1 P U
q MBER fD V NATURE OF WORK ....e.4.4)-e,10
NEW RELAY REPAIR INTERIOR
SAN SEW WATER /3- Bathtub Catch Basin
STORM SEW, Lavatory Grease Trap.
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Sink(other) Site Drain
4.2 frccS M 6y `I 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 sides