HomeMy WebLinkAbout0005317-Plumbing (laterals) CITY OF OSHKOSH N2 05317
CA - ) PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SI SIGN ❑ ZONING FLOOD PLAIN HEIGHT
/4(.4e ,267-4....---...s- PLAN NO.
ADDRESS
OWNER ." -E.
DESIGNER
USE /NATURE OF WORK __<e P c-' -- 4= L -
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR _ , - -
BT WH Disp WSoft CBasin ..elpf
Lav Sh DW DF
San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS f Water P C rr"
Other
..0.-- i
FEES: Valuation $ Permit Fee Paid $ / 5-- Park Dedication $ ,P7
ISSUED BY 6 Date /it-P ? Final /O.P. 6/7'43
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE leldot
DATE
AGENT /OWNER
ADDRESS TELEPHONE #
ADDRESS /c ,a,,, r PERMIT 4fr 5
OWNER
�n ��/�'e' NATUREOFWORK ,�t--°--
PLUMBER ;.! 6Af/v ,: ,f ■■-t.�
OUTSIDE INTERIOR
46 i New Relay Repair # F 1#
San Sew Bathtub t Catch B.
Water Lavatory Grease T.
.St. Sew Toilet Sump P.
* *Inspection Date: Sink Kit. Local Waste
Pit / Sink (other) Site Drain
�,,r la f'� � / -3(f Shower Laundry
,,
It 'l Ato �' Floor drain Laundry tray All
//4-6 f`{ ` u --- Disposal W. Softner
� Y`"I� /� ,d Dishwasher D. Fountain
7
* *Violation notes on reverse side