HomeMy WebLinkAbout0016556-Plumbing (laterals) CITY OF OSHKOSH N° 16556
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS c'9'v cS e _ PLAN NO.
OWNER 7:2-K7e 4 EA
DESIGNER
USE /NATURE OF WORK csti ./Y�i Zw c2/ /07‘.7.-
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 _ _ L ••_
BT WH Disp WSoft CBasin
G (
Lav Sh DW DF ( San. Sewer r v C
WC FDr SP Ur j___ Storm Sewer vC-
Sink LTub Eject SS 4 Water / c__ orr
Other
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FEES: Valuation $ /MD J Permit Fee Paid $ 4 �- Park Dedication $
ISSUED BY_______________ Date ��'--; 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 r i� -2.f�
/� AGENT /OWNER DATE
ADDRESS ? r 09 i � { ..it� j alii....0 o f v TELEPHONE #
Ss PLUMING PERMIT APPLICATION
ADDRESS -/Yo � � DXTE //5 — 2 3 — 37 , PERMIT # /
OWNER K -7 , ,94 e-t- - PLUMBER 4 r�
Sro
NATURE OF WORK . 6-4. ..{-- C1;7'
NEW RELAY REPAIR INTERIOR
SAN SEW ! ' n - - - - # qp
WATER i4 Bathtub Catch Basin
STORM SEW y Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste
Sink(other) Site Drain
Shower Laundry Stand pipe
C 4v tze / lr s'•,P /443 Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector'
1 Urinals Future outlets
•
1 ** Violation notes on reverse side