HomeMy WebLinkAbout0032585-Plumbing (water heater) 52//
CITY OF OSHKOSH N° 32585
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /6/3 v V PLAN NO.
OWNER D Q..�>Lt.v- - e-s--- /If / Iyl -
DESIGNER ,A
USE /NATURE OF WORK ' \ 1 .1 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 /1/7,
BT _L WH Disp WSoft CBasin
- Lav Sh DW DF San. Sewer
- WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ 3 )--e, . 0 0 Permit Fee Paid $ /0 ' a Park Dedication $
ISSUED BY ± Date 2 3 " 3 Final /O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 0 - / h"/ m€- a / 3 /9 3
AGENT /OWNER DATE
ADDRESS 1 O er a 3/ 9/
TELEPHONE #
fy �� PLUMBING PERMIT APPLICATION ,
/ �� �
ADDRESS DATE . /) // / Z 9 9 z PEffiT# . 3 "5-3.-5-
OWNER L 41c il%G PLOWER •
NATURE OF WORK , Nl/
yarn RELAY , REPAIR INTERIOR
SAN SEW _ # #
ETA ■ R Bathtub Su to • Pu
r. ;w • .4, to E ector
Toilet Water Softener
INSPECTION DATE INSPECTION DATE Lit. Sink Drinking Fountain
�
Sink(other) Urinal
- A l) — - '3 // f S`/7 / Waterheater Slop Sink
Shower Grease Trap
,Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
,Dishwasher Catch Basin
** Violation sates on the reverse aide]