HomeMy WebLinkAbout1990-Plumbing (water heater) CITY OF OSHKOSH N° 21410
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG,( J SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 26 / PLAN NO.
OWNER r - a, /— /�<
v
DESIGNER
USE /NATURE OF WORK k £ - -
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 "2 • -��
BT WH Disp WSoft CBasin ui
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ 3 S U O Permit Fee Paid $ /d ` a t , 4...--- Park Dedication $
ISSUED BY 63 Date /' /�--
� Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE _ ! ' ' _ //---1,---5'D
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS ‘0'' fl `- / C 46Z.,) DATE 8 / 9 /90 PERMIT # / f
OWNER ZG�v^� j �U _rr dA PLUMBER ;'v.7N 9 ,�jiY!
NATURE OF WORK /^fr,/ j g 5
NEW RELAY REPAIR INTERIOR
SAN SEW
WATER #1 # STORM SEW athtub Catch Basin
avatory Grease Trap
INSPECTION DATE oilet Sump Pump
INSPECTION DATE it Sink Local Waste
QX�� - -,3 ,_,� ink(other) Site Drain
hower Laundry Stand pipe
loor Drain Laundry Tray
isposal Wat. Softner
ishwasher D. Fountain
/Water Heater Ejector
f rinals Future outlets
** Violation notes on reverse side