HomeMy WebLinkAbout0023129-Plumbing (laterals) CITY OF OSHKOSH N° 23129
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG, SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS a V'/O s
PLAN NO.
OWNER 6` • 0
DESIGNER
USE /NATURE OF WORK /"o '�/(- I - d -
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR y � 1" - g`
BT WH Disp WSoft CBasin C.304<—
Lay Sh DW DF ( San. Sewer V #t) C
WC FDr SP Ur ( K C
__ Storm Sewer
Sink LTub Eject SS --_ Water /
Other
FEES: Valuation / sZ0 O . o o Z O 0 a `/
$ Permit Fee Paid $ Park Dedication $
ISSUED BY Date ° 9 - 9/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE_ _� /_ .� �3 2 i e. 7— gf
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS 2.1 1/Z, ;" b/q',) DATE :?- Z--q/ PERMIT# - 3 1• 2 -9
OWNER 4/44 emu PLUMBER
C -7
NATURE OF WORK /0 . , S/
NEW RELAY REPAIR INTERIO�
SAN SEW a
WATER _ #
e. SEW Bathtub Catch Basin
-- Lavato Grease Trap
III1Toilet - Sum. Pum.
INSPECTION DATE
INSPECTION DATE Kit. Sink
Local Waste
(Cr7"4) 3//3/2/ Sink other) Site Drain
Shower Laundry Stand Pipe
Floor Drain Laundr Tra
Disposal III1Wat. Softner
Dishwasher D. Fountain
Water Heater - Ejector
11111141 Future outlets
** Violation notes on the reverse side