HomeMy WebLinkAbout0022120-Plumbing (water heater) (111-6v) CITY OF OSHKOSH N°_ 22120
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG V SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS fQ �Q� PLAN NO.
OWNER Q 2-c -y=
DESIGNER /
USE /NATURE OF WORK �`�
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
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PLUMBING CONTRACTOR .-
BT WH _ Disp WSoft CBasin
` ..
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
0 d 7
FEES: Valuation $
33 Permit Fee Paid $ �� ' Park Dedication $
ISSUED BY Lc3 •414'..-eg--e- Date /� 0 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE
AGENT/0 DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
G C e-u -- ^ . . DATE 9/ PERMIT# ) , T
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ADDRESS / ' � � f /�3� 0 ✓
OWNER -r.„._ // PLUMBER ... �-0-"'z.c its'
NATURE OF WORK i( e �Xtt z. C`._I h ' 3 32 o b
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
( ** Violation notes on the reverse side]