HomeMy WebLinkAbout0041727-Plumbing (laterals) CITY OF OSHKOSH N- 41127
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG 2 i f SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS i /9 -1- r PLAN NO.
X7
OWNER %j Are-yr
DESIGNER ��JJ��
e_e_ Z s Z 72._
USE /NATURE OF WORK Q�-Q 0
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 i Z.
BT WH Disp WSoft �CBasin %s
Lav Sh DW DF San. Sewer 'LI C
WC FDr SP Ur Storm Sewer lr c--
Sink LTub Eject SS _L Water r--t-
Other
FEES: Valuation gO e 40 a 3 S. O a I
Permit Fee Paid Park Dedication
ISSUED BY Date Y.? Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE A ,l 6 7--Z-G- 1 1
AGENT/OWNER DATE'
ADDRESS
TELEPHONE
PLYING PERMIT APPLICATION
ADDRESS O
DATE °2-6 fib PER�T 7—z 7
OWNER
NATURE of WORK c� d'.,.,..
NEW RELAY REPAIR INTERIOR
GTA r R JO�
A. IL'3Ll► i Bathtub
Sum. Puy
E'e ctor
tNSPECTZON DAZE INSPECTION Toi et Water Softener
DATE Kit. Sink Drinking Fountain
Sink(other)
urinal
Waterheater Slop Sink
e.se Tr
Floor Drain Local Waste
v/..c..7_ 5 7c://97,y Disposal Tub Site Drain
Laundry Standpipe
Dishwasher Catch Basin