HomeMy WebLinkAbout1991-Plumbing (water heater)CITY OF OSHKOSH N? 22188
n PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ,~] SIGN ^ ZONING FLOOD PLAIN HEIGHT
------------------~-~J--------'-`----------------------------------------
ADDRESS ~lS /'~/~~--~-r3-r~tl-' ~~'~- PLAN NO.
OWNER g~~
DESIGNER
USE/NATUf
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft
# Rooms
Height .
Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
# Stories
Class of Const.
- Heat Loss
Volts Amps
Circuits
PLUMBING CONTRACTOR }'
BT ~ WH Disp WSoft CBasin ~"`'~~
Lav _ Sh DW DF -San. Sewer
WC _ FDr _ SP Ur -Storm Sewer
-Sink LTub Eject SS -Water
Other
FEES: Valuation $ ~~ ~ O b Permit Fee Paid $ ~ ~ ~ ~ ~ Park Dedication $
ISSUED BY ~ ,tr~~z~d~ Date '` ~ ~ Final/O
P
.
.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE `~ i1 \
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT
ADDRESS % ~' l5°' ~~~-
OWNER - ~ 1a G-
NATURE OF WORK
fiL~ /~
APPLICATION
DATE ~ f ~ ~/ PERMIT~~ ? ~ % ~ ~
PLUMBER --5~
NEW RELAY REPAIR INTERIOR
SAN SEW ~~ ~k
WATER Bathtub Catch Basin
ORM SEW Lavator Grease Trap
Toilet Sum Pum
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
J
~/ Sink other) Site Drain
® /~
/ ~/9~ Shower Laundry Stand Pipe
Floor Drain Laundr Tra
Dis osal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
/, / finals Future outlets
** Violation notes on the reverse side