HomeMy WebLinkAbout0041039-Plumbing (laterals) CITY OF OSHKOSH No 41039
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG jf SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS r 3 PLAN NO.
OWNER
DESIGNER
t e l de____
USE /NATURE OF WORK
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 F,
BT WH Disp f WSoft CBasin I
Lav Sh DW DF San. Sewer C
WC FDr SP Ur Storm Sewer 4 6 1 C
Sink LTub Eject SS
Water �--r_t--
Other
n b d 0
FEES: Valuation Permit Fee Paid Park Dedication
ISSUED BY Date _4�� 2 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE a��Zl
AGENT/OW I 10.s/ DATE
/7/ e.--,4 tV 7Ll Cam/ ,069,-, C/ 5 4 9z o 25
TELEPHONE
3 �`IDINC R)�T APPLICATION 'Ot'
ADDRESS /r(/ I DATE 8 2 PE&cT# (7.
OWNER PLUMBER v l�.
NATURE OF WORK -=O
1 RIOR
Euector 4
'f` INSPE Water Softener
ON DATE
Drinkin Fountain
R I Slop Sink
EMMIIII -se Tra.
Floor Drain II Local Waste
Laundry Tub Site Drain
r'`��
Disposal Laundry Standpipe
i.,) Dishwasher
Catch Basin
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