HomeMy WebLinkAbout0035454-Plumbing (laterals) CITY OF OSHKOSH N 35454
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG gl SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS 6 7 PY
PLAN NO.
OWNER k �Z�e DESIGNER A USE /NATURE OF WORK /Si U ry
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 _L San. Sewer V t/ v c-
WC FDr SP Ur _L Storm Sewer C
Sink LTub Eject SS Water
Other
�SOO 30, o d
FEES: Valuation Permit Fee Paid J Park Dedication
ISSUED BY Date gJ 2� Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1
AGENT /OWNER DATE
ADDRESS
TELEPHONE
INc PERMIT APPLICATION
ADDRESS 4 s lir
DAZE 3 PESZQT'# 3 s--
OWNER 1111
S
vATDRZ of WORK mss_ /Q p AV
NEW FAIR OR
c mume e
7.4 R
Its A. FrairMilIMEIZIMIII611111.111111111111111111 MO E'ector
DATE SENIM
'i' 4 oke ON DATE INSPECTIe 1111 Water Softener
Aril. IN
Drinkin• Fountain
w /o.,
S Sink
III NM e -se Tra.
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin