HomeMy WebLinkAbout0022990-Plumbing (water heater) CITY OF OSHKOSH N9 22990
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 8 6- 1‘ . S PLAN NO.
OWNER , 4
DESIGNER
USE /NATURE OF WORK ir-,-
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 S
BT L WH Disp WSoft CBasin (—..3400(--
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ `' 7 ° ° Permit Fee Paid $ GO c� 0 Park Dedication $
ISSUED BY Date K / 7 —,
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE " _■ 1i A,`
AGENT/. NER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS /k--- S l t •" '
DATE � l� � �� PERMIT #
OWNER O / I j .._ P LUMBER; * " 1 -s-s -7 -rte
NATURE OF WORK , ' , . Gc)
NEW RELAY REPAIR INTERIOR `
SAN SEW - - # I !'° # # ,
WATER Bathtub Catch Basin
STORM SEW a. _ Lavatory Grease Trap
Toilet- Sump Pump
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste
Sink(other) Site Drain
I c ti L/' / _ 7/ Shower Laundry Stand pipe
�" Floor Drain Laundry Tray
Disposal F Wat. Softner
Dishwasher? D. Fountain
/ Water Heater Ejector
1 _Urinals t. Future outlets
J ** Violation notes on reverse sides
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