Loading...
HomeMy WebLinkAbout0031217-Plumbing (laterals) CITY OF OSHKOSH N°_ 31217 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG Al SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS a S 7 Y 1/ PLAN NO. OWNER e,,,,,,d4- DESIGNER R USE /NATURE OF WORK I 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 Lav Sh DW DF I San. Sewer a C WC FDr SP Ur r Storm Sewer 4 1 )61 e Sink LTub Eject SS f Water Other w o e ©a 3 0, o 0 M FEES: Valuation Permit Fee Paid Park Dedication ISSUED BY Date O S 7 Z Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE O F 9� AGENT DATE ADDRESS TELEPHONE DIMING PERMIT APPLICATION l ADDRESS -S 0/ i DATE 9 -2-- z 7 z PERMIT# 1 l� 7 OWNER c= r, -w. L PLUMBER ji--,------ NATURE OF WOGS 4/--(Fie a NEW RELAY REPAIR /INTERIOR SAN SEW 0 c WATER e...,... Bathtub Sump Puny g-'ORM sir 4 J t Laystory Ejector Toilet Water Softener 1 3pECTZON DATE INSPECTION DATE tit. Sink Drinking Fountain Sink(other) Urinal Waterheater Slop Sink Shower Grease Trap U v ii Floor Drain Local Waste Laundry Tub Site Drain Disposal Laundry Standpipe Dishwasher Catch Basin Violation notes on the reverse side(