HomeMy WebLinkAbout0018632-Plumbing (laterals) CITY OF OSHKOSH N° 18632
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG A SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS Y/- /c19 P PLAN NO.
OWNER e6� /4"C e-c.—
DESIGNER
USE /NATURE OF WORK 1/i°' 77 G(.../` Z-,--- 5e-c---�`C C
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 -_,. e L
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS L Water
Other
FEES: Valuation $ 7071 6 " ) Permit Fee Paid $ (0 °- Park Dedication $
ISSUED BY Date 5 / 7 7 Final /O.P.
In the performance of this work I agree to perform all work pursuan::o rules governing the described construction.
SIGNATURE ._ _ �� - if.
... _ ,
AGENT /OWNER J D E
ADDRESS
TELEPHONE #
ADDRESS c F /Z PLUMBING PERMIT APPLICATION
OWNER . 7 9 / DATE i , - -0
PERMIT# /�Y3 Z
NATURE OF WORK PLUMBER
•
NEW AY r REPAIR _-
SAN SEW _� INTERIOR
� - --®
�� S - - -- - Bathtub �
WATER - C'atc
INSPECTION � Lava to
1111 h Basin
DATE INSPECTION DATE
111111 Toilet Grease Trap
5' /l // al Sum. Pum.
�° Cc''£ -- Sink( other) Local Waste
";� . - Shower 1111 Site Drain
1111 Laundry Floor Drain Y Stand Pipe
Ell Dis.osal Imo
Tra
all Dishwasher -
IIII W at• Softner
gli,____E D. Fountain
1111w .1 wEnlininiiiiiiiiiiiiiiillo Effector
Future outlets
** V on notes on the reverse side