HomeMy WebLinkAbout0037784-Plumbing (laterals) 4
CITY OF OSHKOSH N 37784
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 062 D W1 —I &IC/`- PLAN NO.
OWNER IR buffil (.l Y�
DESIGNER
USE /NATURE OF WORK JF P (T)
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 Wt fMAYA.
BT WH Disp WSoft 4
CBasin 4 Lav Sh DW DF San. Sewer PU G
WC FDr SP Ur Storm Sewer 4 C
Sink LTub Eject SS Water /CC(
Other
FEES: Valuation 4 o. Permit Fee Paid Park Dedication
ISSUED BY Date r(/ '0, Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE r
AGE •WNER DATE
ADDRESS
TELEPHONE
'MIRING PERMIT APPLICATION
/34.0 W /i D A TE l i 3 PEBCT# 1 D
1
ADDRESS
OWNER
I:Eg
NATURE OF WORE IV-C f ---/a--4 1
NEW RELAY REPAIR i I RIOR
SAN SEW idc#
WATER Bathtub Sump Pump
STORM SEW 'L) C Lavatory Ejector
Toilet Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain
Sink(other) urinal
Waterheater Slop Sink
1'`-- ,Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
Violation notes on the reverse side(