HomeMy WebLinkAbout0021405-Plumbing (water heater) CITY OF OSHKOSH N° 21405
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG,,SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /?6
PLAN NO.
OWNER 1di"2 /e -01E-6.--
UUU i
DESIGNER
USE /NATURE OF WORK k c ..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 /112 ^C'
BT WH Disp WSoft CBasin C �i
_Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation Kt7 0 O C O O C i
Permit Fee Paid Park Dedication
ISSUED BY/d__EZ Date
Final /O.P.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE DATE
ADDRESS
TELEPHONE
h PLUMBING PERMIT APPLICATION
ADDRESS /?,2 (.4://,,,,,,4,5-74,,,_ DATE /�2 9'!J z PERMIT aS
OWNER Jar 4 a1 4/4/6=e1.1 PLUMBER 6° 1�.
NATURE OF WORK bv r4 7'' oc
NEW RELAY REPAIR J INTERIOR
SAN SEW /1
WATER Bathtub
STORM SEW Eatch Basin
Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink
Local Waste
/U66/ Sink(other) Site Drain
Shower Laundry Stand Pipe
Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
r** Violation notes on the reverse side]