HomeMy WebLinkAbout0030107-Plumbing (laterals) CITY OF OSHKOSH N 30107
L' PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG r SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 s'/ PLAN NO.
OWNER Of
DESIGNER Q
USE /NATURE OF WORK /V-� C. Q -----L1-4_,
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 r l �dyi
BT WH Disp WSoft CBasin
Pl
Lav Sh DW DF _L San. Sewer V c
WC FDr SP Ur Storm Sewer i ®i
Sink LTub Eject SS 4 Water e
Other
FEES: Valuation 94 )0 0 Permit Fee Paid 30,0 0 1/ Park Dedication
ISSUED BY 4 Date //'7y Final /O.P.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE „Alli1-, -gi-,./.. All
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de AGENT /OWN 1111..' DATE
ADDRESS
TELEPHONE
PL INC PERMIT APPLICATION
ADDRESS S� 7 6-304 DATE z S? 3 i
OWNER ���Z PERMIT* 7
MUM s2z z &z
NATURE OF WORE f
NEW RELAY REPAIR ntriraor.
SAN SEW 'S C
WA R Om
DS, WL�l+J Bathtub Su Pu
E•ector
INSP___ E_CTZOtQ Toilet
D A TE INSPECTION DAZE Drinkin• Water Softener
II Fountain
Sink other
Urinal
/CJ S S 67:2-J Waterheater Slop Sink
Shower Grease Trap
Floor Drain Local Waste
ci( o� Laundry Tub Site Drain
80 Disposal Laundry Standpipe
Dishwasher Catch Basin
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