HomeMy WebLinkAbout0021134-Plumbing (water heater) CITY OF OSHKOSH N9 21134
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG," SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /2/7 PLAN NO.
OWNER 0 l
DESIGNER
USE /NATURE OF WORK ().J--.. 2 .z.e t
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 r 1
BT f WH Disp WSoft CBasin CA)ft-
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
._.e._c_.a_e_ z..e 1
FEES: Valuation $42'0 U Permit Fee Paid Park Dedication
ISSUED BY i6 .1 Ce Date c /9v Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE e �,6� AC/2 a
AGE NER DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS 17/ DATE f� s S c, //9
OWNER Q, f 1.-.wee PE RMI T�� I j
PLUMBER ��41
NATURE OF WORK 4.50-eit_
NEW RELAY REPAIR INTERIOR
SAN SEW
WATER. #1
TORM SEW 1111111111111 Bathtub Catch Basin
Lavatory Grease Trap
Toilet Sum. Pum.
INSPECTION DATE
INSPECTION DATE Kit. Sink
Local Waste
�`l/ Sink(other) Site Drain
Shower Laundry Stand Pipe
Floor Drain Laundr Tra
Disposal rat. Softner
Dishwasher D. Fountain
Water Heater Ejector
111111MINIMMIIIIIIIIIII Future outlets
Violation notes on the reverse side