HomeMy WebLinkAbout0022564-Plumbing (water heater)
~
OSHKOSH
Lot
PERMIT ~ APPLICATION AND RECORD
~I ¡:; /5 '" J/<£L!~
CITY OF OSHKOSH
N~
22564
L /' ~lai ?í?é'/??/;£
Zoning- Parkland Dedication Fee-
Sign 0 Wrecking 0 Fence 0 Pool 0 Occupancy Permit Required
Address
Owner
Heigh~it -
Insp. . Pt/
Block - Ward- Subdivision
Building 0 Electrical 0 Heating 0 PIUmbing.ø'
¿L-
Type of Permit:
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 Washer - Catch Basin
Kit. Sink Laundry Mach. - S. Pump -
Water Heater -L- Water Soft. B & S Waste -
Shower Bath - Bubbler Conductors
Plumbing Fees Total Fees
-?,?D
HEATING CONTRACTOR
Fuel: Gas D Oil DElee. D Solar D Solid D
Conditioning Forced Air D H.W. DElee. Base D Steam D Radiant D
System High Elf. D Supplementary D Air Condo D Ventilation D
Chimney: "A" D "B" D Direct Vent D Con. Burner D Flue Damper & E.I. 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
Id. No.
Flood Plain
Permit Date ,;~
BUILDING Use
I/?4
General
Siding
Type of Construction
Foundation
Size:
_feet wide X
feet long
Square feet area
Height:
Stories and Basement
feet above Grade
Wfdth of Lot
No. of Rooms
ì
Mason
Carpenter
Architect
I ft.
1- 1
I---ft.
l
I
~t-
Inspections -
Footing
Foundation
Electric Service
R.I.
3
"1
~ I Sewer
ß-
0
Water Service
~
Estimated Cost -_.:.JóO Fees Paid --<. 5ô
TO THE BUILDING INSPECTOR: In accordance WITh Section 7-18 01 Ihe Municipal Code of the City a/Oshkosh. it is agreed that if work shall be
discontinued for a period of 30 days at any time for any cause after excavation work is commenced. a solid barrier, wall, orwire fence not less than
five feet in height shall be erected all around such excavation. Such barrier, wallar wire fence will remain in position until removal is approved by the
Building Inspector.
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)
Address
By
Address
Phone
Agent
Phone