HomeMy WebLinkAbout0038538-Plumbing (laterals) CITY OF OSHKOSH N 38538
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG Ar SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /3 ei 4 A/
7 PLAN NO.
OWNER A
DESIGNER g
USE /NATURE OF WORK 2 0
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat A/C p 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 �00------- Lav Sh DW DF 1 San. Sewer P l C
WC FDr SP Ur Storm Sewer V
Sink LTub Eject SS _L Water
Other
FEES: Valuation 7 0 o• d d 3 6 a 4/
Permit Fee Paid Park Dedication
ISSUED BY di Date /r.
Final /O. P. 3//679
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE .eiW Q-;q 3 c )-S-- 3 j -9-7'
r� AGENT /OWNER DATE
ADDRESSp �y �„L�/ d'J i C� vC` ��.�eF �c�l, J- J %7
TELEPHONE
if �P PERMIT APPLICATION
ADDRESS h DATE 1 9 PERcr# .3e s
OWNER //Lisa-of-7
AJ,, ER
NATURE of WORK /1/5f a Air, i f/
NEW RELAY REPAIR 0 RIOR
SAN SEW 1
WATER Bathtub
STORM SEW_ 4'1 lavatory E Pump
Ejector
Toilet Water Softener
9 DATE INSPECTION DATE Kit. Sink
q Drinkin. Fountain
3 f /p/ S1n1C(Other Urinal
KG Waterheater Slop Sink
Shower Grease Tran
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
Violation not on the reverse sidel