HomeMy WebLinkAbout0014996-Plumbing (2 water heaters) CITY OF OSHKOSH N° 14996
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG pr. SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /.. S ,A4 - 4-4_ PLAN NO.
OWNER ( 4 y> ps
DESIGNER f! "
/
USE /NATURE OF WORK _' _ _ _ _ _ _
i �_ .
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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 J( E _
BT 2WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
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FEES: Valuation $ e Permit Fee Paid $ 1C) ✓ Park Dedication $
ISSUED BY -- Date P - 77 - ce Final /O.P. eF/ /�
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE 4. � �� _,. , / —.fiG
'�T /0
DATE
ADDRESS
TELEPHONE #
/ 3 MBING PERMIT APPLICATION /
ADDRESS 120 S (�Q'c"'(� C4, - DATE j'_ j ` M PERMITf / ` 7 5
OWNER MB
�2s —� PLUMBER -1• ./
NATURE OF WORK o7 1 ( CiJ/ /2:_er ilh, ,S )
NEW RELAY REPAIR INTERIOR
SAN SEW # �i
WATER ` Bathtub Catch Basin
STORM SEW! _ Lavatory i Grease Trap
Toilet 1 Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink I Local Waste
Sink(other) Site Drama
/ Shower Site
Stand Pipe
Floor Drain Laundry Tray
' A Disposal Wat. Softaer
f -'- Dishwasher D. Fountain
O F Water Heater Ejector
Urinals ( Future outlets
(** Violation gores on the reverse sidel