HomeMy WebLinkAbout0030105-Plumbing (laterals) CITY OF OSHKOSH N 30105
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGA SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS S 1Z- PLAN NO.
OWNER e
DESIGNER
USE /NATURE OF WORK /VS k
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 ;//3-Pr: ec.a
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer 0e/ C
WC FDr SP Ur Storm Sewer K (VC
Sink LTub Eject SS Water -c-
Other
FEES: 2%DO 30 d
S Valuation Permit Fee Paid Park Dedication
ISSUED BY Date Y Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
jr".11 "jr.t4 0 11
AG WNER DATE
ADDRESS
TELEPHONE
PERMIT APPLICATION
OVNE8 DATE c z PERMIT# 0 s
L4TflR.E of WORE
REPAIR
naTE (OR
WA R
+v i.. t" Sum. Pu
E ector
et* INSPECTION DATE Water Softener
Cer-2_,_-.2---,___,/,/70 ..c,-,--e*e.-e--/ 7
Drinkin• Fountain
g/ alinnainrall....11.
b o Slop Sink
.M° e_se Trap
IIII Floor Drain Local Waste
Laundry u. Site Drain
MI Dis.osal Laundr Stand•i.e
MI Dishwasher Catch Basin
.1. t- id-