HomeMy WebLinkAbout0028046-Plumbing (laterals) CITY OF OSHKOSH N9 28046
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
1 i
/2 T
ADDRESS
PLAN NO.
OWNER Ie —e-l-P-----
DESIGNER
USE /NATURE OF WORK k S F e
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 ig_i_z__:,.
BT WH Disp WSoft CBasin LO,
Lav Lav Sh DW DF (San. Sewer T" J
WC FDr SP Ur Storm Sewer V /I' C
Sink LTub Eject SS Water l et—t_.
Other
FEES: Valuation g d Permit Fee Paid 3 d 0 v Park Dedication
ISSUED BY 1..),--- Date /,-2.__ Final /O.P. a
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ___g rf Z'
AGENT /OWNER DATE
ADDRE
TELEPHONE
PLUMD mama APPLICATION
ADDRESS 6\--) DATE 2 7.2 PERMIT#
OWNER I 1. E8 z
NATURE OF WORK !t-'- ._S`,F C
NEW RELAY REPAIR INTERIOR
SAN SEW Ptl 6
MATER Bathtub
SZQRM SEW PU c.- Sump Pump
Lavatory Ejector
Toilet Water Softener
AIMMINIIIM
INSPECTION DATE INSPECTION DATE Kit. Sink
Drinking Fountain
ti
Sink(other) Urinal
5/& s, r- --/2 Waterheater Slop Sink
ier ,Shower Grease Trap
(f00, Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
_Dishwasher Catch Basin
PriVitation notes on the reverse side(