HomeMy WebLinkAbout0016091-Plumbing (laterals) CITY OF OSHKOSH N°_ 16091
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ►� SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 4213& �i li TC .0
PLAN NO.
OWNER �� ^ 'r„ —/ C9 ,..c dC.
DESIGNER
USE /NATURE OF WORK / _____.
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 U7A/7.t..y
BT WH Disp WSoft CBasin
� f/76 / ,
Lav Sh DW DF San. Sewer
WC FDr SP Ur _ Storm Sewer
t
Sink LTub Eject SS Water /'' rePpf)
Other
OV FEES: Valuation $ e A7 Permit Fee Paid $t Park Dedication $
ISSUED BY , - D a t e / 6 H / JCS/ Final /O.P. /6 " I-1- 87
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Pir/` L i. ■! ;, '_ 1 -
/ AGENT /OWNER DATE
ADDRESS
TELEPHONE #
g3e a-8
•
PL ING PERMIT APPLICATION
ADDRESS ° A 7 / — /6641i
DATE PERMIT #
OWNER _ _ PLUMBER j
NATURE OF WORK _ �. -, i 677^
NEW RELAY REPAIR INTERIOR
SAN SEW i i'y # it
WATER athtub
� /ti Catch Basin
STORM SEW
avatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste
Sink(other) Site Drain
/ Shower Laundry Stand pipe
r
/ / Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector'
t _Urinals Future outlets
1 ** Violation notes on reverse side