HomeMy WebLinkAbout0035358-Plumbing (laterals) CITY OF OSHKOSH N ° - 35358
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG l ir SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 6 Cs /e. PLAN NO.
OWNER k. ..,'sue -�- /e_c....c,„.
DESIGNER ,� / -S�
USE /NATURE OF WORK /f� �\ - 0 -- /
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 0 4e-e-
BT WH Disp WSoft CBasin
Lav Sh DW DF / San. Sewer i v C
WC FDr SP Ur Storm Sewer /
Sink LTub Eject _ SS t Water (
Other
0
o 0
FEES: Valuation $ ' Permit Fee Paid $ 2 0 0 Park Dedication $
ISSUED
Date ga l /9_ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
l ' � f 71:(-e--y SIGNAT URE � � , � ,( � � AGENT /OW NER DATE
ADDRESS
TELEPHONE #
XO j
PLUMBING PERMIT APPLICATION
ADDRESS 6 ,S--- == DATE 8 3 9 PERCIT# 3 S` 3 S_
OWNER -u ,,, A PLDIID -�+- U
NATURE of WORK 2V-5 F� - 6 R / / /
NEW RELAY REPAIR INTE y OR
.. ( �L T # #
DATER Bathtub Sump Pump
• ;y A. Laysto E'ector
,Toilet Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink '
Drinking Fountain
yhi J �/ / �S 3
'Sink( other) Urinal
,
g / Waterheater Slop Sink
Shower Grease Trap
Floor Drain Local Waste
4--.. Laundry Tub Site Drain
Disposal Laundry Standpipe
� ^ , Dishwasher Catch Basin
** Violation notes on the reverse side{