HomeMy WebLinkAbout0043144-Plumbing (laterals) ,zf0
CITY OF OSHKOSH N 43144
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG 16 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS i87 A' PLAN NO.
OWNER k
DESIGNER
USE/NATURE OF WORK
�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 ag r Og glir- 4- 1!
BT WH Disp WSoft Basin
Lav _L Sh DW DF San. Sewer
WC L FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation 7®® 0 0 Permit Fee Paid C 2 0
Park Dedication
ISSUED BY
Date j Final /O.P.
In the performance of this work I agree t p orm all work pursuant to rules governing the described construction.
SIGNATURE j
v in -7
f o L
AGENT /OWNER DATE
ADDRESS 6) 67 ,(lam /v✓! 7 vd O r
TELEPHONE
PLUMBING PERMIT APPLICATION o
ADDRESS, o ki *-e DATE 9 `f PERMIT# K K
I
OWNER 1.�c -a-�� FEUD ,t„
NATURE OF WORK f- -y .1 ---Y ey 7.6 y
NEW RELAY REPAIR INTERIOR
SAN SEW
�T�TgR Bathtub Sump Pump
$TORN SEW Lavatory Ejector
Toilet Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink Drinkin g Fountain
Sink(other) Urinal
Waterheater Slop Sink
TT l( c"/ Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
Violation notes on the reverse side]