HomeMy WebLinkAbout0008239-Plumbing (laterals) n _CITY OF OSHKOSH No 08239
PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG jEr SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /3 "ice 1/4-fg
PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK „5 "E-- l�ti
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 v " A 65)1 re..-c
BT WH Disp WSoft CBasin
Lav Sh DW DF (San. Sewer ?' "1--"C
<
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water / A l'Gap'c....„
Other
FEES: Valuation $ 7) ° Permit Fee Paid $_1.7
Park Dedication $
ISSUED BY �/ Date l� �fi Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
liliC"-" AGENT/0
DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS �cs
//�� /��Z /6 2QK CL., DATE a7� Q a PERMIT # �� F
OWNER 6? .411, /" / PLUMBER
�
NATURE OF WORK J�/,L�, lI (,4) Q�
NEW RELAY R REPAIR INTERIOR
SAN SEW t,►,� El #
WATER MIMI - ;athtub
STORM SEW �— Catch Basin
avato Grease Tra.
INSPECTION DATE INSPECTION Sump Pump
INSPECTION DATEIIIKit Sink Local Waste
USink(other) Site Drain
( ' v e-o/ �d" imp -ecr1/2°"" =Shower Laundry tan. pipe
IIIFloor Drain Laundry Tray
Disposal Wat. So tner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
** Violation notes on reverse side