HomeMy WebLinkAbout1990-Plumbing (water heater) /, CITY OF OSHKOSH N2 21009
L' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS e 3v/2 -r .c/i7 � '?'- PLAN NO.
OWNER A z: /e-!5 :L.-
DESIGNER
USE /NATURE OF WORK / de-IC Cv/>1 k y� k
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 i .
BT 1 WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ S .z'' ° Permit Fee Paid $ �� d Park Dedication $
ISSUED BY C C•C.- : Date Cd(l P/? d Final /O.P.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE , �' ` jv7 f'
AGENT /OW DA
I
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS---___1F34) ��1
OWNER DATE "ld —F10 PERMIT # 7O a9
♦ • _r /' P LUMBER __„9,
NATURE OF WORK W A-
NEW RELAY REPAIR SAN SEW
-- I® INTERIOR
WATER #
STORM SEW = —= =II a av atto Catch Basin
ao Grease Tra.
NSPECTION Toilet Sump Pum.
DATE INSPECTION DATEIIIKit Sink
Local Waste
IIISink(other) - Site Drain
II1Shower Laundry tan . i e
IIIFloor Drain p p
— Laundry Tray
5-2'7) Disposal — Wat. So tner
E. Dishwasher _ D. Fountain
Water Heater _ Ejector
Urinals - Future outlets
** Violation notes on reverse side