HomeMy WebLinkAbout0030962-Plumbing (laterals) CITY OF OSHKOSH N9 30962
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG Ai SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 1/ d PLAN NO.
OWNER
DESIGNER n
c........ 4 0 Z (2_
USE /NATURE OF WORK .0.5F C�
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
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer P C
WC FDr SP Ur I Storm Sewer 6 Ai c
Sink LTub Eject SS Water
Other
FEES: Valuation S-4) 6 A 6 Permit Fee Paid 3 6 O Park Dedication
ISSUED BY Date g L Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1
AGENT /OWNER
DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS. //id S DATE 2 PERMIT# °2•C
OWNER I"'' 1 .i:.4: 52,
NATURE or won .0--C f k d
NEW RELAY REPAIR OR
SAN SEW Ve tI C
WATER CG-' Bathtub Sump Pump
Its ;14. A. F v C- Laysto E' ector
Toilet Water Softener
;NSPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain Urinal
r4//5 —c-a/A/ e/ S Waterheater Slop Sink
,Shower Grease Trao
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
Violation notes on the reverse sidel