HomeMy WebLinkAbout0006549-Plumbing (water heater) CITY OF OSHKOSH N° 06549
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG 0 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2 /7 /Z// ! //
PLAN NO.
OWNER X u�
DESIGNER
USE /NATURE OF WORK 14../4 ;r'' Z ,% ( g /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 4 d .(1 1 /
BT ± WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ 026 Permit Fee Paid $ 5 Park Dedication $
ISSUED BY /% Date /4l( /7f( Final /O.P. Wertd,
In the performance of this k I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
,� // PLUMBING PERMIT APPLICATION
ADDRESS X?/2 /'/ i` /! DATE /04F/4 PERMIT # (US -1 /7
OWNER L E �-�s' s / 7 4
�S�G�eL ' C 4 P
, Gli - --. `
NATURE OF WORK � � !^ �� R
NEW RELAY REPAIR INTERIOR
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
r 40447 'Shower Laundry Stand pipe
Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
f Water Heater _ Ejector
1
Urinals Future outlets
I** Violation notes on reverse side