HomeMy WebLinkAbout0031844-Plumbing (laterals) CITY OF OSHKOSH N° 31844
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG p ELEC ❑ PLBG J �] SIGN ❑ ZO ING FLOOD PLAIN HEIGHT
ADDRESS ?- X J� /
PLAN NO.
OWNER if
DESIGNER
USE /NATURE OF WORK ./,I- -4'-t, .-
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 K
— BT — WH __Asp — WSoft
— CBasin
—Lav —Sh —DW —DF r fJ C
San. Sewer
_WC - FDr ._ SP _ Ur — Storm Sewer /
— Sink _ LTub — Eject — SS ( 4 Wa ter
Other
/ FEES: Valuation .74 d
$ P ermit Fee Paid $ d 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.
SIGNATURE 1 � G
> AGOWNE / �� 3 Z.;"2_ DAT�
ADDRESS r 3 / 7?.. ■•e e < ii •----
TELEPH•NE
,. ING PERMIT APPLICATION
iiDDRESS, -�S' DASE . / �� 3 9 Z PERT• 3 / 2
OWNER 4
NATURE OF WORK, ,'-
RELAY REPAIR INTERIOR
SAN SEW y r c
� # � #
CATER i C
Bathtub Sump Pump
r. ; , 3.4. Leveto E' ector
Toilet im Water Softener
it- 4 •rM • I_ 4_ s i ON DATE Kit' Sink Drinking Fountain _
421/0 Sink(other) Urinal
, ,/ Waterheater Slop Sink
vv .,p
- c-
Shower Grease Trap
,Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
,. Dishwasher Catch Basin
** Violation notes on the reverse aisle(