HomeMy WebLinkAbout0026339-Plumibng (laterals) CITY OF OSHKOSH N2 26339
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG Al SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1/ 3 S C T^_ C, PLAN NO.
1 ^ / / /
OWNER
DESIGNER
USE /NATURE OF WORK , d"i2-``' 'S , /J - Q
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, ' , " -f
- BT WH Disp WSoft CBasin
Lav Sh DW DF I San. Sewer K ® c
- WC FDr SP Ur / Storm Sewer t-1/ C
Sink LTub Eject SS Water / c.-`
Other
FEES: Valuation $ gl-O Q 0 d Permit Fee Paid $ 3 0 ` 0 0 V Park Dedication $
ISSUED BY LI -mss,.- Date 1/ a / - ?/ Final /O.P. /0 - J - e1 /
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE - ,S--.4.-ti-2-P-1 -4,;)
"---"`"
AGENT /OWNE DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION � � 33 I
ADDRESS / /� Z__ mot` DATE . / 0 - --7 9/ PERMIT#
� � L . �r� z -�
OWNER ,( ` h'r R r
NATURE OF WORK Il -�`"`� " ( ' — 0
if
NEW RELAY REPAIR _INTERIOR
SAN SEW Yi✓ c ■ Bathtub Catch Basin
WATER ��_'�` — Lavatory Grease Trap
STORM SEW �� ��C Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink 'Local Waste
Drain
Sink(other)
i � ' Shower Laundry Stand Pipe
�J / J j �'"��"� / 0
Floor Drain
Laundry Tray
Disposal Wat. Softner
D. Fountain
6GG Dishwasher Water Heater Ejector
Urinals Future outlets
j** Violation notes on the reverse sidet