HomeMy WebLinkAbout0002237-Plumbing (laterals) CITY OF OSHKOSH N9 02237
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 60i Pl Ae y PLAN NO.
OWNER
Z-;1"--'44 ee.„4c:
DESIGNER
USE /NATURE OF WORK u-
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 ��►A.t,r
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer t
WC FDr SP Ur Storm Sewer
4
Sink LTub Eject SS Water C
Other
FEES: Valuation 7 66 82 Permit Fee Paid Park Dedication
ISSUED BY ��/`a Date -h4( Final /O.P. /04ei
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLICATION a 3
PLUMBER
j� A.1 S DATE (6) 42 ij4-6"
NAME OF OWNER L, ,L k ADDRESS ,f 74 Z-e--- L
D> 14.S la ..4 (A.4 w 7 -44'a 574,..-_ -„L_ F` -3-7` prof c- 4-ti/71-1"-
a2, h^- S c_ ter. -T a Se a S S c�
NEW SAN. WATER STORM �RELA
SAN. WATER STORM
Main to Curb
Curb to Bldg. Main to Curb
Elect. Pumps Curb to Bldg.
Septic Tanks Repair
NEW REP. NEW REP.;
NEW REP.
Bath Tub Gar. Disposal
Wash Basin Catch Basin
Water soet Dishwasher Conductors
Sink Laundramats Grease C.B.
Water Softener
'Water Heater San. Bubblers Sump acme
Shower Bath Urinals
Bar Bo
1
Floor Drain Dental Cuspidors
Range BOutle
Future Outlets