HomeMy WebLinkAbout0019434-Plumbing (water heater) CITY OF OSHKOSH N° 19434
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG je SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / �,7 7 7 Y y PLAN NO.
OWNER 7 - -
DESIGNER , ll �2 /
USE /NATURE OF WORK W .0 ix - --
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 / WH Disp WSoft
CBasin
Lav _ Sh DW DF San. Sewer
— WC FDr SP Ur Storm Sewer
- Sink _ LTub Eject SS
Water
Other
FEES: 3a ■' ✓
S: Valuation $ S 0 Permit Fee Paid $ /°' ° d Park Dedication $
ISSUED BY Date // 6 U A Final /O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE%
1 c) (1-1/1
AGEN OWNER DATE
ADDRESS
TELEPHONE #
� �-v s PLUMING PERMIT APPLICATION - 'L
ADDRESS /�a.2 y
9 �' G'7- .c' DATE %� a - 7 - 0 PERMIT# /7 3Y
OWNER TAmP7y h i / PLUMBER c" / _
NATURE - OF WORK wA`t F K !�Y £ /PT f R
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
Shower Laundry Stand Pipe
Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
/ Water Heater Ejector
Urinals Future outlets
Prie Violation notes on the reverse side] '