HomeMy WebLinkAbout0016383-Plumbing (laterals) CITY OF OSHKOSH N° 16383
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG $ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ° __.5
_.5 r r rC5Zj PLAN NO.
OWNER S < '
DESIGNER
USE /NATURE OF WORK - _ _ •-. ---.ri►_ 2Z . , -, - - Ki /> _
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 �Y/
BT WH Disp WSoft CBasin
Lay Sh DW DF /San. Sewer Vef,e'f--- WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water o
Other — j
FEES: Valuation $ /�� ^ Permit Fee Paid $ ,.7.10 Park Dedication $
ISSUED BY______ ,, Date /7Th Final /O.P. S r 2 3- a '
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
J PLUMBIlyPERMIT APPLICATION
ADDRESS 4;0 (,... f 7/P DATE 1(' -22 PERM/T# A', ?./e;
OWNER - % PLUI- R _ e dJA /i ii '
NATURE OF WORK 4 r'csyl I .. t �, 4
l / , ‘ S G e.,....., WI
NEW RELAY _ REPAIR INTER ?OR
SAN SEW # #
WATER f Bathtub Catch Basin
STORM SEW! _ Lavatory Grease Trap
Toilet I Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink I Local Waste
file Sink(other) Site Drain
vlCpf ‘ /// 24 21 Laundry Stand Pipe
���a�1 ‘7,_24,-- Floor Drain Laundry
So Tray
f /e
Disposal Wat. Softner
Dishwasher D. Fountain
p / e ,44 i--/ 7/2 / Water Heater Ejector
F/3/1 9 � � �
Urinals Future outlets
) 1/1-0 A / /si _ 7
t *'* Violation notes one r ver sidel
P
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