Loading...
HomeMy WebLinkAbout0020967-Plumbing (laterals) CITY OF OSHKOSH N° 20967 PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG A SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 3,-c) S. /! PLAN NO. OWNER "/" dey-zr - DESIGNER USE /NATURE OF WORK p Q - / - / /1 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 11 `° , - zat - BT WH Disp WSoft CBasin ""° - Lav Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer - Sink LTub Eject SS Water Other / FEES: Valuation $ o . Permit Fee Paid $ �' d 0 '� Park Dedication $ ISSUED BY C -✓ Date AYAV9 Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE (20A � , e'5 ' ©33 _ _ 4, —/J — ed AGENT /OWNER DATE ADDRESS TELEPHONE # �i PLUMBING PERMIT APPLICATION ADDRESS 220 s // DATE !o/ /7v ERMIT�� C, OWNER _. _ s% - s �ra_ 1. C� i �z /� PLUMBER NATURE OF WORK J_ R NEW RELAY fEPAIR INTERIOR SAN SEW # # WATER Bathtub Catch Basin STORM SEW Lavatory Grease Trap Toilet Sump Pump INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste Q _��. � . Sink(other) Site Drain ,..t. r .�1' .- -""'�" Shower �" Laundry Stand Pipe Floor Drain Laundry Tray Dis.osal Wat. Softner Dishwasher D. Fountain Water Heater Ejector Urinals Future outlets 4.izl - ..5,. i Violation notes on the reverse side