HomeMy WebLinkAbout0040597-Plumbing (laterals) CITY OF OSHKOSH
N9 40597
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
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ADDRESS '9
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OWNER
DESIGNER
USE /NATURE OF WORK/ S 0 S2
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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 t San. Sewer i(i y C
WC FDr SP Ur w Storm Sewer c
Sink LTub Eject SS _i__. Water
Other
®Ci 3Q O Park Dedication
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FEES: Valuation Perm Fee Paid 7..<"
5 ISSUED BY 7.---..----------- Date Final /O.P. 'f
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR 7 2.2
AGENT /OWNER DATE
ADDRESS JN 4 e c1 K/ 6" 4 5/3'
TELEPHONE
L ear /'l Z
PER IIT APPLICATION
iiDDRESS 6� 4.„ 1 Z-........-...... i
OWNER 1 46
PLUMBE!
NATURE or WORT. •X.-
NEW RELAY REPAIR INTERI
SAN SEW K I C i
MATER C__-..t,__
SEW c
5TOR i w c Bathtub Sump Pump
Lavatory Ejector
INSPECTION DATE Water Softener
INSPECTION DATE Kit. Sink Drinkin g Fountain
Sink(other) Urinal
yfr//si_s- 7 2 Waterheater Slop Sink
Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
Violation notes an the revue side!