HomeMy WebLinkAbout0037614-Plumbing (laterals) CITY OF OSHKOSH N ° - 37614
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG K SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 3 "a y' j • / -
/� PLAN NO.
OWNER G erie. c-�( " 1
DESIGNER
USE /NATURE OF WORK -Cf " 0 --e--(- /--/---
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 ______1(
BT _ WH Disp WSoft CBasin
- Lav _ Sh DW DF Vi ui
r San. Sewer
- WC FDr SP Ur / Storm Sewer K/ v
- Sink _ LTub Eject SS
Water
Other
FEES: Valuation $ L 45 Q n Permit Fee Paid $ 3 a G
Park Dedication $
ISSUED BY S4Sez— Date 1 ././''
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER
DATE
ADDRESS y' % �l 4 `j , e-- ,“.,-..r+«-, s. / , < 5 - P Ss
TELEPHONE #
� g ,
ING PERMIT APPLICATION �Ci
ADDRESS, `, e n Y 6 DATE P - ( ` 4 3 PCT# . 3 �
OWNER PLD�ER� C ERJ
NATURE OF
WORK ��= -= �.c%X. �S . !';
„IS - C} /
NEW RELAY REPAIR INTERIOR
• SEW Y ®v C- # #
WATER ���ill Bathtub Sum. Pu
A. IriZERI Lavato Ejector
Toilet Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain
`t/e f �Sink(other) Urinal !/ Waterheater Slop Sink
7 Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
..— 'Dishwasher Catch Basin
** Violation notes on the reverse side]