HomeMy WebLinkAbout0010801-Plumbing (water heater)
N~ 10801
Id. No.
Zoning ~/ Flood Plain ~
Insp. Permit Date ~"'"'
-
Lot
PERMIT - APPLICATION AND RECORD
--1/7 4C?/c/~/;,
CITY OF OSHKOSH
Owner ~1.. 51-tn.Je
Address
Block
Ward Subdivision
Plumbing ~ Sign D
Type of Permit:
Building D
Electrical D
Nature of Work
PLUMBING CONTRACTOR ~~
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 Washe' - Catch Basin
Kit. Sink Laundry Mach. - S. Pump -
Water Heater ~ Water Soft. B & S Waste -
Shower Bath - Bubbler Conductors
Plumbing Fees Total Fees
02 ' 1JD
HEATING CONTRACTOR
Fuel: Gas D Oil D Elec. D Solar D Solid D
Conditioning Forced Air D H.W. D Elec. Base D Steam D Radiant D
System Gravity D Supplementary D Air Condo D Ventilation 0
Chimney: "A" D "B" D Direct Vent D Con. Burner D
Calculated Heat Loss System BTU Rating
ELECTRIC CONTRACTOR
Electric Service: New
Description-Type
Fixtures-
Appliances
Changes
Temp.
Switches
Volts
Recep's
Amps
Circ's
Electrical Signs
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
Width of Lot
No. of Rooms
.----It
Mason
Carpenter
Architect
.----It
Inspections -
Foundation
Footing
R.I.
ลก I Electric Service
'õ
Water Service
"1
t I Sewer
Õ
Final
---- v q
Estimated Cost ~ Fees Paid .:?, Së.? Date ~
TO THE BUILDING INSPECTOR: In accordance with 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, orwire fence not less than
five feetin height shall be erected all around such excavation. Such barrier, wall or wire fence will remain in position until removai 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.
(Signed)
Ad~' 3 . Phone
By ; ~ Å---> IA^ OY\ . Agent
(A ,;,,'S;9""") ~,~
Address
Phone