Loading...
HomeMy WebLinkAbout0018275-Plumbing (laterals) n CITY OF OSHKOSH N9 18275 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG4 SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS /3/0 '77 20 0 r,d' Al ST PLAN NO. OWNER G'a. / y pee - e /' DESIGNER // USE /NATURE OF WORK 4/ e.t.a S Cr 'f cv a.± -er YU2.� 2!)u S e_ 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 /X % 7W 0,1s BT WH Disp WSoft CBasin Lav Sh DW DF /San. Sewer y ,. WC FDr SP Ur Storm Sewer Sink LTub Eject SS L Water Other FEES: Valuation $ /& w Permit Fee Paid $ -2'O pn V Park Dedication $ ISSUED BY Date 6----/ — 7 ' Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE * e C "J "/ /e2'• ©33 S' 5 /- 90 AGENT /OWNER DATE ADDRESS TELEPHONE # PLUMBING PERMIT APPLICATION ADDRESS //O ` ,-, r �� DATE ` ✓, /4 PE IT # /e�?s OWNER G 'L7 �,o / �...` PLUMBER fG e°,/, C e •24 NATURE OF WORK :c-C- i.- - - -w NEW RELAY REPAIR INTERIOR SAN SEW 1 # # WATER ://::: rathtub Catch Basin STORM SEW a vatory Grease Trap Toilet Sump Pump INSPECTION DATE INSPECTION DATE it Sink Local Waste Sink(other) Site Drain Shower Laundry Stand pipe 5, /9d '`" "'�'� Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. Fountain Water Heater Ejector' r Urinals Future outlets 1 ** Violation notes on reverse side,