HomeMy WebLinkAboutPlumbing (laterals) CITY OF OSHKOSH No 1
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / C 2 v "Y,,,h/ /7 ���C PLAN NO.
OWNER 4 /9 /4
DESIGNER
USE /NATURE OF WORK jel—ti C64 � 1..-
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 0 Q c z. c
BT WH Disp WSoft CBasin 4
Lav Sh — DW DF / San. Sewer /
WC FDr SP — Ur Storm Sewer
Sink _. LTub — Eject SS Water / . "0 -e.----
Other
FEES: Valuation $ ,7� Permit Fee Paid $ /`, � Park Dedicationn�$
ISSUED BY _�-7 /v / Date / / / 9 / Final /O.P. �//
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE I /, VC 1 . /7,e -- ,
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBIy PERMIT APPLICATION
/
ADDRESS /‘/V ! v 0 p22 / DATE /e i ' PERMIT# //57)
OWNER � (Awe( . PLUMBER Gr, iL�.f
NATURE OF WORK a/e4., / S"'t c? 57v-. . .r ire.
NEW RELAY REPAIR INTERIOR
WATER III #
� b 1 Om Bathtu Catch Basin •'r ��0� Lava to Emma. Grease Tra.
S • CTION DATE INSPECTION DATE n Toilet Suin• Pu'. • Inl Kit. Sink r Loc al Waste
n Sink( Site Drain
e(‘ /1/4 /�
Li Shower 1.11111111111111Inl Laundry Stand Pipe
�� /��
Mil loor Drain Laund Tra •
(1 /)-Z— ' ( NCI Dis •osal IMIIIIIIM Wat. Softner
/� _ n Dishwasher n D. Fountain
S viA S' A , r „ . _ OWat al Water Heater n Effector
i' a (4 n Future outlets
r -2-Mieff .1-1
1** Violation notes on the reverse side] UP //Q
l zZ c 5e4.--v� � � 04 r 1/ .2 3c-7009i- I(
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