HomeMy WebLinkAbout0042057-Plumbing (laterals) ZC y
CITY OF OSHKOSH N � 42057
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGA] SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 3 >. ____ f!/ r",__ PLAN NO.
OWNER Z_ ___,-(_ D..„,4_
DESIGNER
USE /NATURE OF WORK t/le.-.0e_-/"C-/ k-S /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 / / /
—BT —WH
— Dis / WSoft — CBasin i G �/
- Lav Sh _ DW _ DF / San. Sewer " Li'
�' /� 6-
— WC _ FDr _ SP _ Ur _Storm Sewer
— Sink _ LTub _ Eject _ SS _L. Water
Other
FEES: Valuation $ " 0 <5 „o b Permit Fee „..2___ .e:, t a 6
ee Paid $ Park Dedication $
ISSUED BY Date !. o �5
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE fit i' �. /UlO -y
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLDMB , PERMIT APPLICATION Spa z
ADDRESS '223 _.S' _ r ���5'
OWNER '' /
` PLUMBER ,G/ ', _ �' T
NATURE or WORK _ / �,G - a % r ' /
r a t
• : 'y' ✓ - R INTERIOR /
_ ► � � e e
WATER - - -_ Bathtub
• :iv � - - � E
it- :4 . •10,
ON
MI INSPECTION To' let MI Water Softener
DATE IIIIKit. Sink = Drinkin• Fountain
Sink other
C ` ,7 - Slo • Sink
" e -se Trap
ill Floor Drain - Local Waste
Laundry u. Site Drain
Dis•osal = Laundr Stand•i.e
Dishwasher Catch Basin
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