HomeMy WebLinkAbout1987-Plumbing (laterals) CITY OF OSHKOSH N°_ 05310
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG A. SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 2, PLAN NO.
OWNER
qC
DESIGNER
USE /NATURE OF WORK .'!.‘.-t./ eir.r ./Z. /"e l6l 41..- '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 \1(f f �I J 5
BT WH Disp WSoft CBasin
Lav Sh DW DF 5 k �v�
San. Sewer
WC FDr SP Ur Storm Sewer
V
el
Sink LTub Eject SS 4_ Water li
Other
FEES: Valuation 5C.0 Permit Fee Paid 2 Park Dedication
ISSUED BY 1 aa-a✓ Date ar ?j249 Final /O.P. 7-0'
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
Pl
i
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS Ai i :4 DATE 7/2,47
PERMIT 3f 0
OWNER .u/! PLUMBER J h Vry -5
NATURE OF WORK L_S? .4C 4.-- i
NEW RELAY REPAIR
SAN SEW Y 9 /(./('L INTERIOR
1
WATER J'' c
STORM SEW athtub 'Catch Basin
avato 7 Grease Trap
Toilet Sump Pump
INSPECTION DATE
INSPECTION DATE Kit Sink Local Waste
76 Sink(other) Site Drain
94 7 poc- �I1� f Shower Laundry Stand pipe
Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
Violation notes on reverse side