HomeMy WebLinkAbout0008251-Plumbing (laterals) CITY OF OSHKOSH No 08251
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG X SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS //?5 Ctf -7/—n-7/ Cf PLAN NO.
OWNER r
X C 7 J
DESIGNER
USE /NATURE OF WORK____________ -t 44
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 V l cfL/l 4,, /..--e
BT WH Disp WSoft CBasin D
Lav Sh DW DF 4 C(
San. Sewer T
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS *Water W
Other UU
v
FEES: Valuation L /5 Permit Fee Paid Park Dedication
ISSUED BY Date 01 7t` Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLUMING PERMIT APPLICATION
ADDRESS
OWNER DATE at PERMIT 40 -Z
NATURE OF WORK PLUMBER _a
SAN SEW W RELAY REPAIR
SAN INTERIOR
STORM SEW .;athtub
avator Ca tch Basin
NSPECTION DATE Grease Tra.
INSPECTION Toilet
DATE Sump P ump
cave CA'/es
�"cc. ■Sink(other) -Local Waste
(,v6,�(� wa4 vie Shower
-Site Drain
Gt o AFloor Drain NI Laundry tan. pipe
I t Disposal Laundry Tray
Dishwasher 11111 Wat. So tner
11111D. Fountain
Ejector
Future outlets
Violation notes on reverse side