HomeMy WebLinkAbout0023130-Plumbing (laterals) CITY OF OSHKOSH N° 23130
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG [X SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS —z PLAN NO.
OWNER S .„..=#2/:.
DESIGNER
USE /NATURE OF WORK
.e) s F R a 1 i
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 /K de
4.31
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer Ke V C
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water du—
Other
FEES: Valuation 3 o o O d Permit Fee Paid o G Park Dedication
ISSUED BY W Date 9— 7/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ----P7
SIGNATURE G-11 24,XS ,5-. --o4¢. f,"
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS /x5-0 fit) DATE PERMIT# 3/1-- 6
OWNER 1) a PLUMBER -ci
NATURE OF WORK 420 Si d v =tip
NEW RELAY REPAIR INTER
SAN SEW d 46
WATER Bathtub Catch Basin
STORM SEW Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Sink(other) Site Drain
S t) 2/ 77 Shower Laundry Stand Pipe
Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
1** Violation notes on the reverse sidel