HomeMy WebLinkAbout0020450-Plumbing (water heater) CITY OF OSHKOSH N2 20450
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /3 C T ,. .„ PLAN NO.
OWNER D'°' Cr" --e-er.d
DESIGNER
USE /NATURE OF WORK �f t? _a�P f� , ¢st _-.- ./
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 0 - ^ • 6,---c 9- �}�-
BT 1_ WH Disp WSoft ( - 3 (Y CBasin C
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ ^ _ t) Permit Fee Paid $ f , Park Dedication $
ISSUED BY �- / Date ? `/ g 'h /t Final /O.P. � - 90
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR ' Is- ��
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMING PERMIT APPLICATION
ADDRESS l `` 3 2 ( J oz, J- -'A- DATE 5 --3---P0 a o PERMIT # 4� f
OWNER /Q L��L -�'_ ( � P , LUMBER /�L-(./'2;1i' -y—
NATURE OF WORK /......41// /—t: p � i U '4—
NEW RELAY REPAIR INTERIOR _
SAN SEW 46 #
WATER Bathtub Catch Basin
STORM SEW_ Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste
Sink(other) Site Drain
1 y3l,c, Shower Laundry Stand pipe
Floor Drain Laundry Tray
Disposal Wat. Softner
. Dishwasher D. Fountain
i f Water Heater Ejector
f Urinals Future outlets
** Violation notes on reverse side'