Loading...
HomeMy WebLinkAbout0041460-Plumbing (repair sanitary sewer) CITY OF OSHKOSH N2 41460 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / . 0 s? PLAN NO. OWNER f / /.., DESIGNER / USE /NATURE OF WORK � ! –���• /1'� —z� 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 6 - BT _ WH _ Dis — WSoft —. CBasin - Lav _ Sh _ DW _ DF — San. Sewer - WC _ FDr _ SP _ Ur _ Storm Sewer — Sink _ LTub _ Eject _ SS — Water Other FEES: Valuation $ 7 7 • 0 0 Permit Fee Paid $ / ®• ©d V Park Dedication ISSUED BY Date rj T Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE Vea( Ci �n/ AGENT /OWNER 1 DATE ADDRESS 1 . 1)-cy S S TZ <I D3S- `C? t /E' TELEPHONE # IAMBI' ' PEB)IIT APPLICATION Vo ADDRESS 43 C ' , . .∎ _, / DATE . ��Ae9 PERMIT# . a OWNER !i ' ' -a 4 __ PLUMBER . NATURE OF WORK if - i - ,�_., s' _-- NEW - REPAIR INTERIOR SAN SEW # # WATER Bathtub Sump Pump to ; * A. Lavato E•ector Toilet _ Water Softener INSPECTION TE INSPECTION DATE Kit. Sink Drinking Fountain r �j� Sink(other) Urinal � ` �/� / ` 5' � Waterheater Slop Sink i I� 3 c Shower Grease Trap Floor Drain Local Waste • Laundry Tub , Site Drain Disposal Laundry Standpipe Dishwasher Catch Basin ** Violation notes on the reverse side]