HomeMy WebLinkAbout0003876-Plumbing (dishwasher & disposal) CITY OF OSHKOSH N2 03876
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS .,&/<--- /<--- / 17TG Lctiw PLAN NO.
OWNER 2 /fie e.
DESIGNER
USE /NATURE OF WORK c ',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
- BT WH 4. Disp WSoft _ CBasin
Lav _ Sh ---/- DW DF San. Sewer
— WC FDr SP Ur Storm Sewer
- Sink LTub Eject SS Water
Other
FEES: Valuation $ Permit Fee Paid $ O Park Dedication $
ISSUED BY Vi./(407, Date 1- Final /O.P. �.?1�' /V
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
-
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION 3g C
PLUMBER e3- 2-7 s l l DATE 3��,Z. 5 l ° '�
NAME OF OWNER ADDRESS , ..■47j --- 1 7 ,0 9X /.
F- `-//2461: ` D G J wv s -4,6 c Z � t,kw (n fe-e �`�
NEW SAN. WATER STORM RELAY SAN. WATER STORM
Main to Curb Main to Curb
Curb to Bldg. Curb to Bldg.
Elect. Pumps Repair
Septic Tanks
NEW REP., NEW REP. NEW REP.
Bath Tub , Gar. Disposal Catch Basin
Wash Basin Dishwasher Conductors
Water Closet Laundramats Grease C.B.
Sink Water Softener Sump Pump
Water Heater San. Bubblers Bar Wastes
Shower Bath Urinals Range Boiler
Floor Drain Dental Cuspidors Future Outlets