HomeMy WebLinkAbout0018273-Plumbing (laterals) CITY OF OSHKOSH N9 18273
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS l0/5 .4 443 'Q r .l A2 'e C oT 5/ ) PLAN NO.
OWNER T e Q T ro v s r
DESIGNER
USE /NATURE OF WORK "lie 4" 5c w ey` , c.t- -er 4 P .-.,,, �Z Sae.. // Q,.-
11 €l u S P
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 A /7/I `o « - 1S
BT WH Disp WSoft CBasin
Lav Sh DW DF Z San. Sewer S'
WC FDr SP Ur / Storm Sewer `►'"'
Sink LTub Eject SS L Water / .
Other
c orD ✓
FEES: Valuation $ o-0 Permit Fee Paid $1 -� Park Dedication $
ISSUED BY .�?/
' Date 1 " -970 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE . •ec C-=. fie 5 c9 s�3 ,>_s-- /- 90
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
7
Plc LoT51 ' PLUMING PERMIT APPLICATION
ADDRESS aft- 461 DATET 9 PERMIT# / 2 7J
OWNER ii Y 1c PLUMBER 1Lii 0 on7� -4
NATURE K 1 . 1 (�(, 412/1.4 �O Q�F't • �a 5i � �" 5 / 7�, -7—__
NEW NEW L RELAY REPAIR INTERIOR
SAN SEW i fl "C # #
WATER / (orp Bathtub Catch Bas
STORM SEW .4,1 Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Sink(other) Site Drain
Shower Laundry Stand Pipe
W , 51go c, -- /24 `( Floor Drain Laundry Tray
l Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
t** Violation notes on the reverse side'