HomeMy WebLinkAbout0014618-Plumbing (laterals) CITY OF OSHKOSH N2 14618
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
/
ADDRESS % 2 — 11/ . �-� PLAN NO.
OWNER 0 4• ,62-0 / —'-
DESIGNER
USE /NATURE OF WORK C-C4 - Lf�¢ c4._
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 /2'' f
BT WH Disp WSoft CBasin
Lav Sh DW DF /San. Sewer V
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS 7 Water / l'trif7
Other
FEES: Valuation $ ( � Permit Fee Paid $ Park Dedication $
ISSUED BY Date 742-2787 Final /O.P. 1 / / , c/,�
In the performance of this work I agree to perform all work pursuan, :o rules governing the described construction.
SIGNATURE .C- 7 a 7 --I.,
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
P UMBIN PERMIT APPLICATION
ADDRESS .0 Arr - .air , , 7 / /
OWNER
DATE �# -1 P I T#
i1 _ 1 4 , PLUMBER /Tim/ _
i
NATURE OF WORK ti r 4 ( w -A r _
NEW RELAY INTERIOR
AN
WATER e
.; �i Bathtub Catch Basin
Grease Tra•
P ON DATE INSPECTION DATE Kit. Sink 1 S • P
ilm Local. al Waste
Sink(other) Site Drain
F . / f Shower r Laundry Stand Pipe
�S loor Drain am Laund ra.
Dis• osal - Wat. Softner
= Dishwasher in D. Fountain
IIIIIIIIIII - Effector
Future outlets