HomeMy WebLinkAbout0030109-Plumbing (laterals) CITY OF OSHKOSH N°_ 30109
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG gs SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS y� Or
PLAN NO.
OWNER ...Geor--C
DESIGNER Q
USE /NATURE OF WORK /�-S cg 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
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer K f t/ C'
r
WC FDr SP Ur Storm Sewer `d C
Sink LTub Eject SS
Water r et
Other
FEES: Valuation a 3 Q O a
Permit Fee Paid Park Dedication
ISSUED BY Date g ///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 1 7/
AGENT /OWNE DATE
ADDRESS
TELEPHONE
ADDRESS 75- .K Ors' INC PERMIT APPLICATION
OWNER Mr DAZE 7 y i
PE
NATURE OF W PEWIT. !o
i S
7 �V C 4- AIR
w RIOR
WA: R �z __�e
4: Sum Pu
E'e
5 S� S „Ts DWater Softener
rrkin Fountain
4 Slo Sink
QCJ Floor Drain
Or 61-6
1 se Tra. III Laundry u. Local Waste
111 Dis.osal Site Drain
1111 Dishwashe Laundr Stand•i.e
Catch Basin
•l.