HomeMy WebLinkAbout0024008-Plumbing (water heater) (416) CITY OF OSHKOSH N° 24008
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG X SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 /q 1 4 PLAN NO.
OWNER rT
DESIGNER
USE /NATURE OF WORK �I —g_
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 Volts Amps
Fixtures Switches Receptacles Circuits
c
PLUMBING CONTRACTOR S 69
C._)"-
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
7
FEES: Valuation a 0 0 Q Permit Fee Paid AC::. Park Dedication
ISSUED BY Date 6 2 7 9/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR W Iiii., Am; Di_ ill ea 7 7- p/
AGENT /OWNER
DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS /777 1!,:72,41.7°.1) y DATE '23 PERMIT ;Z/47°°(71
OWNER PLUMBER 41
NATURE OF WORK
NEW RELAY REPAIR INTERIOR
SAN SEW 1
WATER rathtub Catch Basin
STORM SEW avatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste
f O .27 �3 2/ Sink(other) Site Drain
,v Shower Laundry Stand pipe
Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
1
Urinals Future outlets
I** Violation notes on reverse side'