HomeMy WebLinkAbout0024809-Plumbing (water heater) CITY OF OSHKOSH N°_ 24809
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG K SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /.2 d d � p PLAN NO.
OWNER �-727/-'
DESIGNER
USE /NATURE OF WORK ' \ sff
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 ."--e
t_.,3,1c--
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 $ �d * 0 d Permit Fee Paid $ a Park Dedication $
ISSUED BY C e Date 8 7 2 '—F
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE a /g et
AGENT /OWNER / D/
E
ADDRESS I 3?4, 4 o....aSS b :Z _ bE'7 � -23.t- t-ri
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS
/0201:, /(0,246,_ R 0 DATE V /' - I/ PERMIT # Kk 7
OWNER C PLUME 4- -�� y'
NATURE OF WORK o\
NEW RELAY (/ REPAIR INTERIOR # 4k
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
g /yPL Shower Laundry Stand pipe
Floor Drain Laundry Tray ,
Disposal Wat. Softner
`i �f ! f ' �� Dishwasher D. Fountain
/ Water Heater Ejector `
I Urinals Future outlets
J ** Violation notes on reverse side