Loading...
HomeMy WebLinkAbout0036969-Plumbing (laterals) 10 ( CITY OF OSHKOSH N° 36969 46) PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG Al SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / O R-s 6� n� /� PLAN NO. OWNER 4- °'z" �v( dJ DESIGNER 'l U / SE /NATURE OF WORK NsF — 0 --- --e—ti ' LL , 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 /( dee BT WH Disp _ WSoft CBasin e Lav _ Sh DW DF ___t_ San. Sewer V i) C WC FDr SP Ur _L Storm Sewer S‘ , I Sink LTub _ Eject SS _L Water / — Other FEES: Valuati SO O . n © z on $ J Permit Fee Paid $ 3 (D Park Dedication $ ISSUED BY Date /'//6 Final /O.P. fly" 9 / q ,. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � E ,,,:,C eo... -- $j�2, ?j - //,_,-.„ j AGENT /OWNER DATE ADDRESS F74' X11. i`,e7 0 -- - Ci /!l cd29 t 4i.. .S`r/01,,G SW - 30. 7 -- TELEPHONE # • /�gS' PLUMBING PERMIT APPLICATION a S� d " 5 P ADDRESS, p G,r/ DATE . / � PERMIT# . �a 9 � . OWNER - f D • . , . � _ a : r i •''' NATURE of WARE 4 / sf I ( - O ' °(' , • NEW RELAY REPAIR II • RIoa SAN SEW `�®V c _ # # auER /z....„ Bathtub Sump Puts STORM SEW c f f U - • Lavatory - Ejector .Toilet Water Softener INSPECTION DATE INSPECTION DATE . Kit. Sink Drinking Fountain Sink(other) Urinal (/ 5 �il/ ST —S /0 /7 2 Waterheater Slop Sink _/ Shower Grease Tram Floor Drain Local Waste Laundry Tub Site Drain Disposal Laundry Standpipe Dishwasher Catch Basin ** Violation notes on the reverse side(