HomeMy WebLinkAbout1993-Plumbing (laterals) Y3 a
CITY OF OSHKOSH N ° - 36899
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 7go / 7 7 •Q 7 / _ - ,A„__ PLAN NO.
OWNER "`
DESIGNER
USE /NATURE OF WORK ' t' -P2 ^,:r.s
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 t 6
— BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur _ Storm Sewer n
Sink LTub Eject SS / Water 6" �- - 20 0 r V C--
Other
FEES: Valuation $ 3 loo • o d Permit Fee Paid $ f ° - 0 0 Park Dedication $
ISSUED BY —2415° Date Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE AZ(/7- (-
1 kV
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLI TIO
ADDRESS, i7g 0 o /790 g 4c--e DATE // / i 9 3 3 8179
OWNER , -S o PERtlIT#
_ PLUMBER I� d���Z-
NATURE OF WORE -
NEW RELAY REPAIR INTERIOR
SAN SEW # #
WATER 16"6---.R=t1lAY- Bathtub
Sump Pump
STORM SEW
Lavatory Ejector
Toilet Water Softener
ON DATE INSPECTION DATE Kit. Sink Drinking Fountain
fla ///� ; / 1//f Sisk( other)
Urinal
Waterheater Slop Sink
it ////,(4?' .3 ` 30 e n Shower Grease Trap
/ Floor Drain Local Waste
Laundry Tub Site Drain
'Disposal Laundry Standpipe
,Dishwasher Catch Basin
1
** Violation notes on the reverse side(