HomeMy WebLinkAbout1989-Plumbing (laterals) CITY OF OSHKOSH No 12517
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG .g SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS f C 75 ��,y"1 PLAN NO.
OWNER / �,.......
DESIGNER
USE /NATURE OF WORK sPrf.v *-{ - C.(/-47.4y.
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 �
BT WH Disp WSoft CBasin /
_Lay _ Sh DW DF San. Sewer Y 4/-(/G
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS j_ Water _/ (c)
Other
a� /
FEES: Valuation $ OU Permit Fee Paid $7� 11// Park Dedication $
ISSUED BY Date _. -7 Final /O.P. /0 — / /,C
In the performance of this work I a to perform all work pursuant to rules governing the described construction.
� .-
SIGNATURE 3 — ,) _ e'
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
&25---- PLUMBING RMIT APPLICATION i/
ADDRESS �^ i �j�iiP �'f 71 / DATE �-7// l PERMIT# /AP
7
OWNER l �. , 4j PLUMBER AC
NATURE OF WORK 1�Oti, J , 5 cf / err ��
NEW RELAY REPAIR INTERIOR
SAN SEW I . /t105
WATER I J Bathtub Catch Basin
STORM SEW1 _ Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Sink(other) Site Drain
/ Shower Laundry Stand Pipe
f �07t/16/ tb'y' Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
I** Violation notes on the reverse side]