HomeMy WebLinkAbout0020458-Plumbing (water heater) 46) CITY OF OSHKOSH N° 20458
- PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG K SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / g-S 7 -S PLAN NO.
OWNER /'-/ _j�C'12-''— j,
DESIGNER ,Q
USE /NATURE OF WORK _ Zarie--
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 0 • k • G- -'
BT / WH Disp WSoft CBasin b /C--
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ 4 a ° C3U Permit Fee Paid $ /0,00 Park Dedication $
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ISSUED BY � Date S — /ff — Ye ) Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
/ /
SIGNATURE -......1-&,--e �
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
I
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PLUMBING PERMIT APPLICATION
ADDRESS AO? sf'" DATE l� /zd 27. PERMIT # � 1 -S ^ u
OWNER /1 `� •-- PLUMBER ei r < -4.-or
NATURE OF WORK Cs` J /1 4 C C
NEW RELAY REPAIR INTERIOR
SAN SEW I # #
WATER Bathtub Catch Basin
STORM SEW _ Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste
Sink(other) Site Drain
Shower Laundry Stand pipe
_ Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
/ Water Heater Ejector'
I Urinals Future outlets
** Violation notes on reverse side