HomeMy WebLinkAbout0007610-Plumbing (laterals) CITY OF OSHKOSH N°_ 07610
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG,SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /13 I/v.. -537c- Z// PLAN NO.
OWNER " /f j- ti-
DESIGNER
USE /NATURE OF WORK - - _ ,fr -
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR 2 I " <■ / -, r��i ""
BT WH Disp WSoft CBasin ,p
Lav Sh DW DF San. Sewer 7 / U C
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS / Water � </ e D..,�"
Other lr r
ai__
FEES: Valuation $ 77 (5a Permit Fee Paid $ / Park Dedication $
ISSUED BY Date 8'� 7.
�� Final /O.P. �+'
In the performance of this wor. I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE / I % (/ C- 0 1 5) N / /g'
AGENT /OWNER DATE
ADDRESS -2-33 9Qr�/,
TELEPHONE v
PLUMBING PERMIT APPLICCAI N
ADDRESS , � (' J nef/ DATE �f- rP PERMIT# 0 (( 0
OWNER l e ,4 /i s/ PLUMBER r- /
NATURE OF WORK 5
NEW RELAY REPAIR INTERIOR
SAN SEW eN
WATER li '� �k �'�
Bathtub Catch Basin
STORM SEW u
Lavator Grease Trap
Toilet III1Sump Pump
INSP� I DATE INSPECTION DATE Kit. Sink Local Waste
Sink(other) Site Drain
Shower Laundry Stand Pipe
f / / /', ��/ Floor Drain Laundry Tray
� Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
Pc* Violation notes on the reverse sidel -