HomeMy WebLinkAbout0029015-Plumbing (laterals) CITY OF OSHKOSH N° 29015
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG, SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS f
PLAN NO.
OWNER fi de,
DESIGNER D
USE /NATURE OF WORK �sFX
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 CMG-„,
BT WH Disp WSoft CBasin A
Lav Sh DW DF —L San. Sewer r U C
WC FDr SP Ur Storm Sewer KA C
Sink LTub Eject SS Water i
Other
I
9-0 cn FEES: Valuation O O Permit Fee Paid 3 O_ Park Dedication
ISSUED BY G Date G` /-7 "Z— Final /O.P.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE l
r C 7
AGENT /OWNER DATE
ADDRESS
TELEPHONE
LING PERMIT APPLICATION
ADDRESS, i°2 4.5--- 60 DATE 2— PL&�1'; ��a/ S�
OWNER f j,,,-„ a,„,7-
NATURE Or WORK /tJS f 6 1 I
.4 '.1' AIR c OR
SAN SEW tic I
WATER c..,..—
Bathtub Sump Pump
STORM SEW 7 i' V c Lavatory Ejector
Toilet Water Softener
4 1 0 IPSPE ON DATE lit. Sink II Drinkin Fountain
3/6c) St --C /fX Sink otter IIII
Waterheater Slop Sink
Shower Grease Trap
w ,Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
,�t. Dishwasher Catch Basin
Violation notes on the reverse side]