HomeMy WebLinkAbout0026548-Plumbing (water heater) CITY OF OSHKOSH N° 26548
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG% SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS / 72 7 4 �' PLAN NO.
OWNER
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I '
DESIGNER q /�
USE /NATURE OF WORK Y1 -
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 if
BT _L WH Disp WSoft CBasin <:_
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
3 o,e d ✓
FEES: Valuation $ Permit Fee Paid $ / 0 . .3 0 Park Dedication $
ISSUED BY GYZ --ee ; Date / •'-- – C 9/ Final /O.P. tot- 9 - 91
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE p iL /p2^ ` y /
AGENT /OWNER i�
DATE
ADDRESS /9t_ S , -L r✓ 'Q d l • g 33- 6 7 y 7
TELEPHONE #
PLUMBING PERMIT APPLICATION
e
ADDRESS /2 e *--„ DATE /,?--C _ 5% PERMIT# °? 6 s'S‹
OWNER �-..— - " v = PLUMBER tif
NATURE OF WORK DI f / (/ • Gti
NEW RELAY REPAIR INTERIOR
SAN SEW # #
WATER i Bathtub Catch Basin
STORM SEW! Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE ICit. Sink Local Waste
Y Sink(other) Site Drain
0/1 2 - / Shower Laundry Stand Pipe
Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
/ Water Heater Ejector
Urinals Future outlets
P** Violation notes on the reverse side