HomeMy WebLinkAbout0029693-Plumbing (laterals) CITY OF OSHKOSH N2 29693
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS //5" lc
,, / PLAN NO.
�l
OWNER " 0
DESIGNER
�'� USE /NATURE OF WORK >- � �� s , ' i t AP 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 4 k V �°--.
BT _ WH Disp WSoft CBasin !
Lav _ Sh _ DW _ DF t San. Sewer V A C
— WC FDr SP Ur Storm Sewer
— /,(
Sink LTub Eject SS J Water ( /1
Other
FEES: Valuation $ �d ® O.0 Permit Fee Paid $ °•
,/ O Park Dedication $
ISSUED BY s� Date 7/l 7, L
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE i� -e,/ �f ..._, /� 4
AGENT /OWNER //
/ DATE
6-,01
ADDRESS 6- 61 i , 7 `'e/ gel / L. e .
r e� 6/A� J s � / -7 TELEPHONE#
4'
/ / /5 -,5 " --
PL ING PE T APPLICATION
ADDRESS DATE . 7,//� p PERMIT# . °2' 4
OWNER 1 1:ER / /\ 1�.� 2�c_-
NATURE OF WORK '
/ RELAY REPAIR w • RIOR
SAN SEW r C " # #
WATER /"11 6 Bathtub Sump Pump
y' : a. Lavato E' ector
Toilet Water Softener
INgPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain
Sink(other) Urinal
y , /7� Waterheater Slop Sink
Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
** Violation notes an the reverse side]