HomeMy WebLinkAbout0043558-Plumbing (laterals) CITY OF OSHKOSH N °- 43558
PERMIT -� APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGyr SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / / 7 G' (0 GZ,fG��G -, PLAN NO.
OWNER (7' /I -1,„ 7 /4 „ i
DESIGNER
USE/NATURE OF WORK W z _ r a
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ FueVSystem Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ,a ,0 -■r-t--
- BT _ WH ____ Disp _ WSoft _ CBasin
— Lav _ Sh _ DW _ DF _ San. Sewer
- WC FDr _ SP _ Ur _ Storm Sewer
— Sink _ LTub _. Eject — SS Water / ' r dc
Other
/
l �.d4
FEES: Valuation $ Permit Fee Paid $ Park Dedication $
ISSUED BY � Date /� % ,7 _S — Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE - )41 ,eku r 4/L / I f V? c' 33 6 1 - 02 3 9
AGENT /OWNER DATE
ADDRESS - 6,? W, I. 4 235 333
TELEPHONE #
�� / PLUMBING PERMIT APPLICATI N
ADDRESS /7 , 1! -c� DATE . z,3 r
# ._.,a_z_,,, ,,7 ' ' 3 '-r - -s - P
, ...-` y , " PLUMBER
NATURE OF WORT 2.Q �re
NEW REPAIR INTERIOR
SAN SECT
STATER #, #
Bathtub
• '+ Sump Pump
Lavato Ejector
IPE Toilet Water Softener
ATE INSPECTION DAZE * Kit. Sink 4
W -- Sink(other) Drinkin Fountain
� t, ' Y/ Slop
�w Slop Sink
Shower Grease Trap
Floor Drain Local Waste
' Laundry Tub Site Drain
'Disposal Laundry Standpipe
Dishwasher Catch Basin
ink •• - v. .. .l. t - Y