HomeMy WebLinkAbout0042765-Plumbing (water heater) CITY OF OSHKOSH N° 42765
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG h SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS `o,ck --)nfrmE t 7t PLAN NO.
OWNER r°..n e a o i f bf iNt 1 )1 1(X Q
DESIGNER
USE/NATURE OF WORK 1"lO �Y K Q� br boy-
BUILDING CONTRACTOR
Size Sq. Ft. Rooms 1 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 VRru n
BT _L WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation 1(11). Permit Fee Paid /0,0 Park Dedication
ISSUED BY Date `9 FinaVO.P.
In the performance this work i j :dorm all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE
Z
�/f
PLUMBING PERMIT APPLICATION
ADDRESS, 6/7 4 C 2 7 5�
i/ .S'i DATE ��fC PERMIT#
OWNER 4-- p .1. s4
NATURE OF WORK r /igiA' r- 0 A/
NEW RELAY REPAIR INTERIOR
Ti
!WATER Bathtub Sump Pump
r' A. Lavato E'ector
Toilet Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink
Drinking Fountain
C9G /�C;^ 0-(2' W eater rin l
L Waterheater Slop Sink
,Shower Grease Trap
,Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
_Dishwasher Catch Basin
Violation notes on the reverse side(