HomeMy WebLinkAbout0047330-Plumbing (water heater)CITY OF OSHKOSH
;L PERMIT -APPLICATION AND RECORD
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N~ "4ls~G
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ~~ ~ ^"` PLAN NO.
OWNER
~--{~ ,
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation
Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
Volts Amps
Circuits
PLUMBING CONTRACTOR -~-
- BT ~ WH _ Disp WSoft - CBasin C
Lav _ Sh _ DW - DF _ San. Sewer
- WC _ FDr _ Sp _ Ur -Storm Sewer
-Sink _ LTub _ Eject _ SS -Water
Other
FEES: Valuation $ ~~~ • ®~ Permit Fee Paid $ f~ ' ~ D Park Dedication $
ISSUED BY ~ /~ ~~ Date ~ ~ ~=S ' `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
AGENT/OWNER
ADDRESS
DATE
TELEPHONE #
Job Address 500 JOSSLYN ST
Owner JAMES J LANG
category 410 -Residential-Interior
,thtub Shower
Whirlpool Floor Drain
Lavatory Lndry Tray
Toilet Lndry Stndp
Res. Sink Disposal
Bar Sink Dishwasher
Water Heater 1 Sump Pump
Use/Nature
of Work
Plumbing Permit Work Card
Permit Nun~:er ~,~3Q
Contractor LES DAVEY PLUMBING
Plan
Ejector/Grind Dip Well F Prep Sink
Water Softner Drink Ftn Serv Sink
Local Waste Watt. St. Shamp Sink
Clothes Wshr Ice Chest FIrlVllst Sink
Bidet Exam Sink Catch Basin
Beer TaplSoda Sculry Slnk Wash Ftn
Dent. Oper. Hand Slnk Urinal
Value
Grease Trap
Receptor
Other
$500.00
REPLACE WATER HEATER AND INSTALL DEDUCT WATER METER
Size Material Type
Sanitary Sewer
# Conn.Type
Storm Sewer
- ~ ~-~~
..ester Service
ate
Inspector
Approved
Type
~~~ ~~~k ;~5 ~~l 9s~/Saab R • /y
Create Date 09/25/95