HomeMy WebLinkAbout0013675-Plumbing (connection)
CITY OF OSHKOSH
¡(II), /V /Jt:.;/I. A<~ Owner ~ ßr~f . <;")a crv/, 5"¿;:::f" Id. No.
Zoning Flood Plain . ,
Insp. £.:,., Permit Date ~/ró~
L. --
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:'"---."."~-~ Address
PERMIT - APPLICATION AND RECORD
Block
Subdivision
Lot
Type of Permit:
Building D
Electrical D
Nature of Work
PLUMBING CONTRACTOR ~"c-
Bu. San. Sewer - Curb to Bu.
Bu. St. Sewer Curb to Bu.
Main to Curb:
Main to Curb
Sewer Fees
Water Service
Bath Tub Floor Drain Urinal
Wash Basin - Garbage Disp. - S. Sink
Water Closet - Dish Washer - Catch Basin
Kit. Sink Laundry Mach. - S. Pump ~
Water Heater - Water Soft. B & S Waste -
Shower Bath - Bubbler Conductors
Plumbing Fees Total Fees
HEATING CONTRACTOR
Fuel: Gas D Oil D Elec. D Solar 0 Solid D
Conditioning Forced Air D HW. D Elec. Base 0 Steam D Radiant D
System High Eft. D Supplementary 0 Air Condo 0 Ventilation D
Chimney: "A" D "B" D Direct Vent D Con. Burner D Flue Damper & E.!. D
Calculated Heat Loss System BTU Rating
ELECTRIC CONTRACTOR
Electric Service: New
Description-Type
Fixtures-
Appliances
Changes
Temp.
Volts
Recep's
Amps
Circ's
Switches
Electrical Signs
N~
13675
Wrecking D
Occupancy Permit
BUILDING Use
General
Roof
Siding
Type of Construction
Foundation
Size:
_feet wide X
feet long
Square feet area
Height:
Stories and Basement
feet above Grade
W;dth of Lot
No. of Rooms
----Ít.
Mason
Carpenter
Architect
----Ít.
Inspections -
Footing
Foundation
R.I.
~ I Electric, Service
t Sewer
c:
'1
Estimated Cost <;1x~ Fees Paid ,J? ,S-6
TO THE BUILDING INSPECTOR: In accordance w.h Section 7-18 of the Municipal Code of the City of Oshkosh, it is agreed that if work shall be
discontinued for a period of 30 days at anytime for any cause after excavation work is commenced, a solid barrier, wall, arwire fence not less than
five feet in height shall be erected all around such excavation. Such barrier, wall arwire fence will remain in position until removal is approved by the
Building Inspector. X
In the performance of this work the undersigned agrees to abide by and do work pursuant to all statutes, ordinances,
codes, and rules governing the described construction.
.owner
Phone
By
Agent
Address
Phone