HomeMy WebLinkAbout0027206-Plumbing (laterals) CITY OF OSHKOSH N°_ 27206
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG ,r SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS l 3 7 GU 7
�Q PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK /0....0-,...) S t— I Q o__
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 a eerwr —C
BT WH Disp WSoft CBasin t T D Of
Lay Sh DW DF San. Sewer C
WC FDr SP Ur I Storm Sewer Y e v C
Sink LTub Eject SS .--L Water 4-,.-
Other
FEES: Valuation 7 0 d Permit Fee Paid 3 0 O Park Dedication
ISSUED BY Date "-7"-- Final /O.P. 0 -3 9a
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
/1- t
AGENT/.
DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS 471 3 7 DATE on 3 S -Z PERMIT# 0. 7 a7 a
OWNER. PLDMBER
NATURE OF WORK /---z-----,_.) --r7- X'
NEW RELAY REPAIR RI0R S�a
SAN SEW �"w�
WATER C Bathtub
Sump Pump
5TORM SEW `f ,(1 L.- Lavatory Ejector
Toilet Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain
Sink(other) Urinal
56J7_57 SJ 3 Waterheater Slop Sink
,Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
Violation notes on the reverse side(