HomeMy WebLinkAbout0040598-Plumbing (laterals) CITY OF OSHKOSH
N2 40598
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /..K°
OWNER
DESIGNER
USE /NATURE OF WORK 1 6
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 --J G4- -r---s-z,v--
BT WH Disp WSoft CBasin n
Lav Sh DW DF San. Sewer V C
WC FDr SP Ur Storm Sewer 0
Sink LTub r
—Eject SS 1..._. Water
Other
FEES: Valuation tc� Q O Permit Fee Paid -5n 7
Park Dedication
ISSUED BY 6
Date -e" Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE .L, 7-.2c2 75/
-ii
AGENT /OWNER
DATE
9`'
ADDRESS A2 i r 10 e ,N g 6 KS
TELEPHONE
Co-r Y
G �nac PERMIT APPLICATION
ADDRESS t %`S�Z� ?/72-2 pmc
OWNER J -c,,,e.-
NATURE Or W�
NEW RELAY REPAIR IRIOR
SAN SEW K‘ C
WATER v (C7 Bathtub Sump Pump
STORM SEW `t` a Lavatory Ejector
Toilet Water Softener
INAMON DATE INSPECTION DATE Kit. Sink Drinking Fountain
Sink(other) Tirinal
Waterheater Slop Sink
Shower Grease Trap
Floor Drain Local Waste
I/1 S 7/� 9 Laundry Tub Site Drain
v Disposal Laundry Standpipe
t Dishwasher Catch Basin
Violation notes an the reverse side]