HomeMy WebLinkAbout0026405-Plumbing (water heater) CITY OF OSHKOSH N°_ 26405
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG gJ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ?7 ("kJ - - -`( PLAN NO.
OWNER -- %�
DESIGNER
USE /NATURE OF WORK g ,, („J 1-1-
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
BT WH isp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ 5 -15 6 ( 0 Permit Fee Paid $ / O d Park Dedication $
ISSUED BY LOyee_Zice_; Date l- - 3 -9 ./ Final /O.P. S & .`/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE - r ,7_,,,,,„ `D
ADDRESS 1 2-(� Power S -5' OS\,. tL- -a' „ til IV
TELEPHONE #
1
PLUMBING PERMIT APPLICATION
ADDRESS 7/e «- - DATE PERMIT #_
OWN /!WAT / PLUMBER
NATURE OF WORK k) `4 _
NEW RELAY REPAIR INTERIOR
T
SAN SEW
# #
WATER Bathtub Catch Basin
STORM SEW Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Sink(other) Site Drain
P- a 6 Shower Laundry Stand Pipe
Floor Drain . Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
/ Water Heater Ejector
Urinals Future outlets
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1 Violation notes on the reverse side]
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