HomeMy WebLinkAbout0030960-Plumbing (laterals) CITY OF OSHKOSH N°_ 30960
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG XI SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 1:ja -e---- 1144 -7 PLAN NO.
OWNER g eaP
DESIGNER A
c '-S Q
USE /NATURE OF WORK 1
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
BT WH Disp WSoft CBasin l
VI Lav Sh DW DF San. Sewer C
WC FDr SP Ur Storm Sewer 4
.0
Sink LTub Eject SS L Water
Other
FEES: Valuation 45 0 0 3 0 0 0
P ermit Fee Paid Park Dedication
ISSUED BY Date 2 2.---- Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
(\r
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PL. I-1 PERMIT APPLICATION
ADDRESS. ---C DATE J;11-.2.-- PERMIT. 2‘ 0
OWNER E$
NATURE OF WOR //S' F e 7
i RELAY REPAIR RIM
SAN SEW P ti c-
iii R L Bathtub Su.. Pu
0 'Iv 34. t- Lavato E' ector
Toilet Water Softener
IRX=110 INSPECTION DATE Kit. Sink
Drinking Fountain
j Sink(other) Urinal
Ce yfj�b j Waterheater Slop Sink
,Shower Grease Tran
g77/72-- Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Catch Basin
Violation notes on the reverse side(