HomeMy WebLinkAbout0003190-Plumbing (laterals) CITY OF OSHKOSH N9 03190
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG j SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 r,-r PLAN NO.
OWNER frtiL<1C/- 1— C� s A
DESIGNER
USE /NATURE OF WORK 7 s r
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 D. Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR 7 '2,YT S 4i C-----'
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer 4 P'Ll
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water 1 L Cerre"--
Other
FEES: Valuation /5 Permit Fee Paid
%,S Park Dedication
ISSUED BY �2� 1 Date 5 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE te 0
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLICATION 03 l 7 d
PLUMBER JOila/t DATE /..(1;7
NAME OF OWNER g 6 rim ADDRESS /7// S o
v V
NEW SAN. WATER STORM RELAY SAN. WATER STORM
Main to Curb Main to Curb
Curb to Bldg. Curb to Bldg.
Elect. Pumps Repair
Septic Tanks
NEW REP. NEW REP. NEW REP.
Bath Tub Gar. Disposal Catch Basin
Wash Basin Dishwasher Conductors
Water Closet Laundramats Grease C.B.
Sink Water Softener Sump Pump
Water Heater San. Bubblers Bar Wastes
Shower Bath Urinals Range Boiler
Floor Drain Dental Cuspidors. Future Outlets