HomeMy WebLinkAbout0030959-Plumbing (laterals) CITY OF OSHKOSH N9 30959
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGf SIGN ZONING FLOOD PLAIN HEIGHT
4 f ADDRESS
S PLAN NO.
OWNER i
DESIGNER J
U
fl
SE /NATURE OF WORK S r g 0 ---r-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 S
BT WH Disp WSoft CBasin
Lav Sh DW DF 1 San. Sewer T C
WC FDr SP Ur I Storm Sewer I L� r I/ C
Sink LTub Eject SS Water
Other
FEES: Valuation /-5-cl O C Permit Fee Paid 3 0,0 C) Park Dedication
ISSUED BY Date 9 g 2— Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 4 (-1(-\.
AGENT /OWNER DATE
ADDRESS
TELEPHONE
INC PERMIT APPLICATION
ADDRESS. 41 s/ r/ j DATE S 9 3
RVNE PERMIT# 1"S"' y
OR, I' 4 1
NATURE OF woes SF4 0 Air
NEW RELAY REPAIR MeTERIOR
SAN sETJ >i f c C
;JA wB
to; 4 A. MILV1 Bathtub Sum• Pu
Laveto E'ector
INSPECTION DATE INSPECTION Water Softener
INSPECTION DATE Kit. Sink
Drinking Fountain
(6. e... Ao 10 e 81IIk(otfier) Urinal
Waterheater Slop Sink
Q/.// y Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
•1
Y d