HomeMy WebLinkAbout0026325-Plumbing (laterals) CITY OF OSHKOSH N° 26325
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG AT SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS g Si S PLAN NO.
OWNER C:(---- /
DESIGNER
USE /NATURE OF WORK nj --Q t—,J S n \
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 )44/ e- e
t-U
BT WH Disp WSoft CBasin
- Lav Sh DW DF 4 San. Sewer ( , ✓ C
WC FDr SP Ur 1 Storm Sewer 51. / I) C
- Sink LTub Eject SS L Water 1 -
Other
FEES: Valuation $ E 0 • `% Permit Fee Paid $ 6 a Park Dedication $
ISSUED BY 63 d' e--,'> Date l /- a / - 9 / Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE cir (I �! r rl
AGENT /OWNER DATE
45: , -- e- - c-----"4-. 4 °
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS _s• p - �--e -•-- DATE ( " 7 ` S - V PERMIT# - 6 -g -
OWNER ( —r •-�s1-,- PL ERr�
NATURE OF WORK 4 -r v -CC e " Ca
1 ---er -' 4'-' -
NEW RELAY REPAIR INTERIOR
SAN SEW VAJC- # #
WATER / 6:--e Catch Basin
STORM SEW Y A✓ c- Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Sink(other) Site Drain
C -e-- A- ;�/,�j — Shower Laundry Stand Pipe
7 �' Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
I** Violation notes on the reverse side{