HomeMy WebLinkAbout0002938-Plumbing (laterals) CITY OF OSHKOSH No 02938
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG y SIGN El ZONING FLOOD PLAIN HEIGHT
ADDRESS 2 1�/� G'�,,._ /" PLAN NO.
OWNER L.5,ei 7 (:P41
DESIGNER
USE /NATURE OF WORK LSD- Ce■-e -Z / �j,?7. /,--,-"ra-e--..4"
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 J"v& (f)-) 9 z c,
— BT WH
Disp WSoft CBasin
Lam Sh DW DF
San. Sewer �f � C
WC — FDr SP Ur Storm Sewer
Sink _ LTub Eject SS a
Water / Cv✓J!� c-, Other 0
ff// Y
FEES: Valuation $ 7 UD a6
Paid $ Fee Permit F Pai
/ a o Park Dedication $
ISSUED BY f�� c`i0 Date o2 /'/
cF°? Final /O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
/ i
SIGNATURE _// 4 4 _
/ AGENT /OWNER
DATE
ADDRESS
TELEPHONE #
T PLUMBING PERMIT APPLICATION 02493 S
PLUMBER 1 1Ne 4 ,. {. 4 -' DATE 4
NAME OF OWNER --c 2-- ADDRESS 6 ,,;v 5 )z, C' ‘,4_ ,00/
ej
/.2 �.. 2 1he , Qay� ,, t ( cl .54.4.A/
NEW SAN. . WATER , STORM RELAY SAN. WATER STORM
Main to Curb Main to Curb
Curb to Bld g. Curb to Bldg.
Elect. Pumps Repair
Septic Tanks
•
NEW REP. NEW REP. NEW REP.
Bath Tub _ Gar. Disposal Catch Basin
Wash Basin Dishwasher 1 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