HomeMy WebLinkAbout0037785-Plumbing (laterals) CITY OF OSHKOSH N° 37785
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG A' SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS ?V- d- U ho
c PLAN NO.
OWNER WJ
DESIGNER y�
USE /NATURE OF WORK A1SF/` Q
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 YP Volts Amps
Fixtures Switches Receptacles
Circuits
PLUMBING CONTRACTOR S( /'N f'ni,yn4'
BT WH Disp WSoft
Lav CBasin
Sh DW DF 4 p
San. Sewer C
WC
FDr SP
Ur 1 Storm Sewer +P VC--
Sink LTub Eject SS
Other
J. Water CC
FEES: Valuation Permit Fee Paid e CO Park Dedication
ISSUED BY
Date
,111114: Final /O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/0
DATE
ADDRESS
TELEPHONE
Sa o/
U ING PERMIT APPLICATION
ADDRESS O 2 7.2- !�l/
DATE
OWNER 'cG i. 3 PERMIT# D
p .1:a: .S
NATURE OF WORE /1/s G g 0 r
1
NEW RELAY REPAIR M *Ban
AN SEW 62(i e
WATER =4
Bathtub Su Pu
Lavato Ejector
1NSON DATE Toilet Water Softener
INSPECTION DATE Kit. Sink
A/ G
Drinking Fountain
/U Sink(other) Urina 1
!La Sink(other)
Slop Sink
l/ /f 9 p.,„.„ ✓,,,D Shower Grease Trap
Floor Drain Local Waste
j Laundry Tub
�fij%a Site Drain
Disposal Laundry Standpipe
i24,.�e,�1 Dishwasher Catch Basin
f2% `jam. ///2/93
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