HomeMy WebLinkAbout0008248-Plumbing (laterals) CITY OF OSHKOSH
N2 08248
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG % SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ' ''2 ' 77° Ci PLAN NO.
OWNER <-; --vy 5�, 4.___
DESIGNER
USE /NATURE OF WORK ��,_-- --,:::4---r vq
.L_
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 s ,41 6,-e
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer - "</ 11 # 2 /./C._.
WC FDr SP Ur Storm Sewer
ei
Sink LTub Eject SS _l- Water_
Other
FEES: Valuation $ 9e7C) Perm' ..ee Paid $/5 v Park Dedication $
ISSUED BY ..7r5(../- Date / 3 / 7
,��a�� Final /O.P. F
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
7
AGENT /OWN
DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATI
�f
- ADDRESS � o /c. &C .��,, DATE L_ _l `f PERM T# O
OWNER c-5 /2 ic%-6r PLUMBER ‘ 7� _� 4 -7 6 ,
NATURE OF WORK , S
NEW RELAY REPAIR INTERIOR
SAN SEW CC y # #
WATER _I t` Bathtub Catch Basin
STORM SEW Lavator Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Sink(other) Site Drain
%3� 3/ (Y4 � f , ;./ Shower Laundry Stand Pipe
II / Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
iUrinals Future outlets
r** Violation notes on the reverse sidel -