HomeMy WebLinkAbout0002984-Plumbing (water heater) CITY OF OSHKOSH N°_ 22984
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG Al SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /, f7 PLAN NO.
/
OWNER ► s:
DESIGNER / /
USE /NATURE OF WORK e / .‘ 2 -1.1-4 ( --c-e- ---e—c,--vc-- Z.-AE---
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 's
BT / WH Disp WSoft CBasin C _3,1(--
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ 3 S`s - o cz Permit Fee Paid $ AO 4 ° `. Park Dedication $
ISSUED BY /�'`a Y` 7
Date / 7 - 97 Final /O.P. / 7 `h
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1 ► 4 A I SZ
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
�,/ -�" PLUMBING PERMIT APPLICATION
ADDRESS �' h / g4 e ,,Z DATE `f - 7 ? %' PERMIT # 2- 7W
OWNER k
,
Q PLUMBER
NATURE OF WO7 R e ' CO a
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
c!_ 7 _� 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 reverse side