HomeMy WebLinkAbout0016090-Plumbing (laterals) CITY OF OSHKOSH N° 16090
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG0 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS '40 0 Add 4- /��" _ PLAN NO.
OWNER (i�1 d d i,73 (
DESIGNER
USE /NATURE OF WORK _ , . u ' rail 1
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 C7 / ‘_� -t..-
BT WH Disp WSoft CBasin
DF
Sh DW C 7 ` �Oj/C
WC FDr
Lav 7san. Sewer �
c� �
SP Ur + Storm Sewer 4 ".." 1 ".... 4. _
Sink LTub Eject SS 7 Water � u Cei�p o---
Other //""
0,-)' 2 i
FEES: Valuation $ Permit Fee Paid $ c. 7 � Park Dedication $
ISSUED BY i� -� Date /O — .3/ 37 Final /O.P. fa— Z c4-69
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE I L r ' /�( ;�
AGEN /OWNE
DATE
ADDRESS
TELEPHONE #
. f3/
PL ING PERMIT APPLICATION �
ADDRESS �* /�� / en E. DATE GU 2 $ PERMIT # A 619
'[�
OWNER e e; ,,....., . _ PLUMBER /UL s e_,
NATURE OF WORK i �+ rs j' A„4,..-
NEW RELAY _ REPAIR INTERIOR
SAN SEW 4 u # #k
WATER / `* rathtub Catch Basin
STORM SEW 4 / avatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE it Sink Local Waste
Sink(other) Site Drain
/ Shower Laundry Standpipe
/�_ // Floor Drain Laundry Tray
r f Y((( Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector'
Urinals Future outlets
j** Violation notes on reverse side]