HomeMy WebLinkAbout0040527-Plumbing (laterals) io/
CITY OF OSHKOSH
N9 40527
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS .2P /4l1, 74/r° ti PLAN NO
OWNER r Gf*Lt d--a r 741
DESIGNER
USE /NATURE OF WORK .r Ili/li1 4Z& 1 ...r
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 G
Lav Sh DW DF 4_ San. Sewer 7 ‘1
WC FDr SP Ur T Storm Sewer et Mr Sink LTub Eject SS 4. Water a C/�j�r?
Other II trb i
FEES: Valuation ,C� Permit Fee Paid 6
l Park Dedication
ISSUED BY .`L' Date AT Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 7✓ aa f
AGENT i il DATE
ADDRESS \1 '/`'/.SL �Ir —c'" C 4 G 'S� VS
TELEPHONE
1 PL ING PERMIT APPLICA ON �O
ADDRESS G17 r/
DATE 7.2 -d°PE 7 (),�-Z
owNER y RMI T# 7
i PLDMaER 4 1 t 7
NATURE OF WORK f a
NEW RELAY RELAY REPAIR INTERIOR
7 '1
STATER
STORM f, t_
Bathtub t
Sum. or
Ejector
WOLIOWN DATE INSPECTION Water Softener
INSPECTION DATE Kit. Sink Drinking Fountain
Q Sink(other) Urinal
C (7UCP C /0 //1ip 7% Waterheater Slop Sink
Shower Grease Trap
Floor Drain Local Waste
Laundry Tub
Disposal Site Drain
Laundry Standpipe
Dishwasher Catch Basin
0
violation notes an the 'averse si411