HomeMy WebLinkAbout1991-Plumbing (soil stack) CITY OF OSHKOSH N2 23001
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG K SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /30 6 4..e PLAN NO.
/
OWNER
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DESIGNER
USE /NATURE OF WORK 1 J 2 -tie.r , t- ' 0—el t 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 ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR S
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ 4 ° • O 0 ^ Permit Fee Paid $ �� � v / Park Dedication $
ISSUED BY eA \ a � . Date 5e /e-- Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1 vC A i t ' ... "'' ...
t4--4-191/4 AGENT /OW DATE
ADDRESS
TELEPHONE #
'LURING PERMIT APPLICATION
ADDRESS /30.6 l - / DATE 02/ / V/ 3C3a /
OWNER ' II7� !�! v-2 G- � G GS' _S PERMIT�k
i / P URE
NATURE OF WORK �` , 1 0 O
NEW RELAY REPAIR INTERIOR
SAN SEW # # W
WATER -_ Bathtub
Catch Basin
il"! SEW -_ Lavato Grease Trap
Toilet Sum. Pum.
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
() ' J 7/ Sink(other) Site Drain
Shower Laundry Stand Pipe
�� 2 o , Floor Drain Laundr Tra
(� Dis•osal Wat. Softner
Dishwasher D. Fountain ,,.. air, E ector
.� ' , Future outlets
i
r , ' / u�
� notes on th reverse side /