HomeMy WebLinkAbout1988-Plumbing (laterals) CITY OF OSHKOSH N o 11 k
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG, SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 4'76) , !/i! .— Z'L / 4 PLAN NO.
OWNER ,j
DESIGNER
USE /NATURE OF WORK — ,
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 -7 iJ L�
BT WH Disp WSoft CBasin
Lav Sh DW DF /an. Sewer
WC — FDr SP Ur Storm Sewer
Sink _ LTub _ Eject SS _7/ Water___
Other
FEES: Valuation $ g c-i:) Permit Fee Paid $ /�� Park Dedication $
ISSUED BY s Date /0q/91r Final /O.P. 7 .2/5
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
f. if ___________- __
SIGNATURE ".""Illlion.—
AGENT /OWNER ! DATE
ADDRESS 'f
TELEPHONE #
PLUMBING RMIT APPLICATION
ADDRESS ( 6 76 . ie'f°1' ! I a DATE . / j��,
` ) �` P RMIT
/� PLUMBER J IVVI S (dam -_ c
OWNER
S
/f
NATURE OF WORK SC-r�.' In r•`--
NEW RELAY REPAIR INTERIOR
SAN SEW /pig
WATER h 1 Bathtub Catch Basin
STORM SEW / Lavatory Grease Trap
Toilet Sump Pump
te
as
Lo cal Ws
INSPECTION DATE INSPECTION DATE Kit. Sink L Dan
Sink(other).
/ Shower Laundry Stand Pipe
�w�� , tag �a�s Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
1** Violation notes on the reverse side]