HomeMy WebLinkAbout0036978-Plumbing (laterals) K
CITY OF OSHKOSH N 36978
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG A6 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS V PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK
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 i Ci
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer VQ (e
WC FDr SP Ur Storm Sewer ,1 t
_Sink LTub Eject SS L Water 7 6
Other
I
FEES: Valuation 2 /0 0 O Permit Fee Paid 3 ,o d Park Dedication
ISSUED BY Date `�93 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE J�j‘- y
pr AGENT /OWNER DATE
ADDRESS 0 y C 01: 4 "���v�.ce.cert P 514) `35' 7C
TELEPHONE
APPLICAIZO
pERM Z a /s so )Z0/
ADDRESS I -40F .1 o
�ar�- I D ATE
OWNER BST#
p .I: A.
NATURE or wow CA O ��1-
_i_ IN1g immunimmom
WATER s
r• A. i'lr Bathtub E e Pu
E'ector
INSPECTION BATE Water Softener
Sink(ottiar
Drinkin Fountain
I
Sle. Sink
IIII ..111 e.se Tra.
IIIII Floor Drain Local Waste
IIII Laundry Tu. Site Drain
IIII Dis.osal 1111 Laundr Stand.i.e
Dishwasher Catch Basin