HomeMy WebLinkAbout0019628-Plumbing (water heater) CITY OF OSHKOSH N2 19628
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG tsi SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 S 3 L) A1TZ V- PLAN NO.
OWNER It L M-
DESIGNER
USE /NATURE OF WORK ki 'el"—) W 14 1M 1 4
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
PLUMBING CONTRACTOR C. Aalii•-IL 1 L.
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 t...) OO Permit Fee Paid V Park Dedication
ISSUED BY e e$ti Date 772 /9a Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE c 0
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A NT /OWNER D E
ADDRESS 0 4 4o l /-N/ o S -3 L v kD
TELEPHONE
ADDRESS /j �36 (..e.../4177" SGcI�. DATE
PERMIAPPLICATION `e(."-- /q/
OWNER 1-es-A ,c. PE IT�� l �oa7
PLUMBER e J�rI
NATURE OF WORK r e c LA//[ c fi
NEW RELAY REPAIR INTERIOR
SAN SEW
W
al
ATER
1• SEW III1 Bathtub Eatch Basin
III1 Lavato Grease Trap
INSPECTION DATE Toilet Sum. Pum.
Local Waste
INSPECTION DATE Kit. Sink
D r! Sink(other) Site Drain
j Shower Laundry Stand Pipe
11111Floor Drain Laundr Tra
IIIIDis.osal Wat. Softner
IIII Dishwasher IIIID. Fountain
1111111 Water Heater Ejector
Future outlets
Violation notes on the reverse side