HomeMy WebLinkAbout0023631-Plumbing
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OSHKOSH
Lot
CITY OF OSHKOSH
Owner ~ Þz ~ CCt ;7,/a/!r/-
Zoning- Parkland Dedication Fee-
'gn 0 Wrecking 0 Fence 0 Pool 0 Occupancy Permit Required
Address
PERMIT - APPLICATION AND RECORD
g;/( ¿fá/Va~r;'"",- C'~
Type of Permit:
Block - Ward- Subdivision
Building 0 Electrical 0 Heating 0 Plumbing
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 5!!f:L Garbage Disp. ---1-- S. Sink
Water Closet $5.- Dish Washer ---1--- Catch Basin
Kit. Sink ( Laundry Mach. -J---- S. Pump -
Water Heater --I--- Water Soft. B & S Waste -
Shower Bath + Bubbler Conductors
Plumbing Fees Total Fees
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HEATING CONTRACTOR
Fuel: Gas 0 Oil 0 Elec. 0 Solar 0 Solid 0
Conditioning Forced Air 0 HW. 0 Elec. Base 0 Steam 0 Radiant 0
System High Eff. 0 Supplementary 0 Air Condo 0 Ventilation 0
Chimney: "A" 0 "B" 0 Direct Vent 0 Con. Burner 0 Flue Damper & E.I. 0
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~
23631
Id. No.
Height Permit
Insp.
Permit Date
BUILDING Use
General
Siding
Type of Construction
Foundation
Size:
feet long
Square feet area
_feet wide X
Height:
Stories and Basement
above Grade
Wid"' of Lot
No. of Rooms
I----ft.
Mason
Carpenter
Architect
~t._'
Inspections -
Foundation
Footing
Electric Service
R.I.
.3
0
"1
~ I Sewer
a
Final
Estimated Cost "fé)()U ~ Fees Paid 5?~ Date
TO THE BUILDING INSPECTOR: In accordance with Section 7-1 Bolthe 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 feet in height shall be erected all around such excavation. Such barrier, wall or wire 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.
(Signed)
Address IJ
By r< ¿ ~~ ~--:1/
(A"¡¡""'d S'goat",,) .
Phone
Agent
Address
Phone