HomeMy WebLinkAbout0037617-Plumbing (laterals) 16
CITY OF OSHKOSH
No 37617
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG l SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 3j6 g 6 0 ;,' PLAN NO.
OWNER 6- d- j
DESIGNER
USE /NATURE OF WORK I
/
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 / d4r4/4
- BT WH Disp WSoft CBasin
- Lav _ Sh DW DF / San. Sewer lifiU! C
WC FDr SP Ur 1 Storm Sewer i i
/
Sink LTub Eject SS l Water / �--e..-c—
Other
FEES: Valuation $ " 0 0 0 -06 Permit Fee Paid 30 . ° 6
e aid $ Park Dedication $
ISSUED BY 4 Date 1/07,)Z Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE -e �=�:. A 'V ' fr Y
AGENT /OWNER DATE
ADDRESS ef v2 Ze. % , Cry t+'ll: 5� '.) 3, ?S"`
TELEPHONE #
ADDRESS 10 EJP )"!e 7CL PLUMBING PERMIT APPLICATION
DATE RNIT# 3 7 4 /7
OWNER - - A► % - I ' i,4 w
NATURE OF WORE -- - O Ate / 1
NEW RELAY REPAIR ce
SAN SEW # #
STATER Bathtub
•;4 A. -� -� E
Toilet MI Water Softener
INS ON DATE INSPE ON DATE lint. Sink II Drinkin Q Fountain
�/& Sink(other) .
MI Slo
.4,/ _ W_ to e_ ter . Sink
Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
- Dishwasher Catch Basin
ji/(Aa o6 cleln-e Je
** Violation notes on the reverse side/ Ili( S„