HomeMy WebLinkAbout0007804-Plumbing (water heater) CITY OF OSHKOSH N°_ 07804
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG5g. SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / ) 5 4 J f,- PLAN NO.
OWNER (:ps
DESIGNER �� //""
USE /NATURE OF WORK ;_ % - (�_ _ _ a , 1 1 ,
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATIN( =a 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 �4P
- BT WH Disp WSoft CBasin
- Lav Sh DW DF San. Sewer
WC — FDr SP Ur Storm Sewer
- Sink LTub Eject SS Water
Other
FEES: Valuation $ / —,/
ermit Fee Paid $ Park Dedication $
ISSUED BY Date li.' Final /O.P. ..�/7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ca._ /� _,. –._
- ' / OWNER DATE
ADDRESS
TELEPHONE #
P UMBING PERMIT APPLICATI9N /
ADDRESS /Ar S .____ DATE L3772 ( PERMIT# 6;6
OWNER r� r5 U — PLUMBER C4------,-._
NATURE OF WORK (J t Jam/ ;irJ�
NEW RELAY REPAIR INTERIOR
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
371� Shower Laundry Stad Pipe
( Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
2 2ylater Heater Ejector
Urinals Future outlets
V* Violation notes on the reverse sidel