HomeMy WebLinkAbout0039054-Plumbing (laterals) No 39054
CITY OF OSHKOSH
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG 4 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /97 l i, PLAN. NO.
OWNER
DESIGNER �J�
USE /NATURE OF WORK /Y S F C� ---t .2--( 1
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 V
BT WH Disp WSoft CBasin
Lay Sh DW DF _L San. Sewer t*
a c
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water r
Other
FEES: Valuation 4- 0 6 Permit Fee Paid 6 0 a
Park Dedication
ISSUED BY !/f 0 T Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 2
AGENT/0 4 R iy
ATE
ADDRESS
TELEPHONE
PLUMBING PELT APPLICATION
ADDRESS I�l�� i1-�r- DATE 4 l� c T# 3 dS'
OWNER r�� t a: (/ae
NATURE OF WORK 7 6 -f_-4/O
NEW RELAY REPAIR
47
WATER Bathtub Sump. Pump
STORM SEW Lavatory Ejector
Toilet Water Softener
ON 'SPE DATE Kit. Sink Drinkin• Fountain
i i j Sink other Urinal
i,, ,of 6---'
Waterheai''e,,r Slop Sink
Shower Grease Trap
Floor Draizi' i Local Waste
Laundry Tub Site Drain
:Disposal Laundry Standpipe
Dishwasher Catch Basin
Violation notes on the reverse side(