HomeMy WebLinkAbout0020437-Plumbing (water heater) CITY OF OSHKOSH N°_ 20437
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 49 3 7 Ply -K- Z-,/ PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK +\ a
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR 0. g. G...4
BT / WH Disp WSoft CBasin C.,..�
Lav Sh DW DF San. Sewer
WC — FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ O.O tl Permit Fee Paid $ / `c
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2' Park Dedication $
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ISSUED BY - �.r-€4 Date -/g -? ' Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR _--ite.r
.
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
(� PLUMBING PERMIT APPLICATION
ADDRESS /0 7 f'6- «. -e �� DATE 7/2 /,a PERMIT# / V 7
OWNER / 144J-0--e-1 0 PLUMBER , g r 7 -
NATURE OF WORK iefyi A-141... ea
NEW RELAY REPAIR INTERIOR
SAN SEW # # WATER Catch Basin
STORM SEW Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
//X ,� �( 7 7 / ,tl Sink(other) — Site Drain
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�'J Shower Laundry Stand Pipe
Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
Pric Violation notes on the reverse side