HomeMy WebLinkAbout0020633-Plumbing (water heater) CITY OF OSHKOSH N° 20633
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG, SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 73 G��xu PLAN NO.
OWNER '(y r leGLys2S
DESIGNER /
USE /NATURE OF WORK /' f" cr l v� G
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 ,-,c/4-161-43"-e....4 _ '*" 'p 'W
BT T WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
_WC _ FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
eV ss /
,,
FEES: Valuation $ Permit Fee Paid $ L Park Dedication $
ISSUED BY 25(e---e--"g"B"-
Date Al 3^` 9'c) Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS / 3 G). - -
DATE /0 3 j o PERMIT# a0 6 33
I_�i�. I �
u� �lJ f ,,
OWNER ;' ■ U . R .
NATURE OF WORK' -, / • %
NEW RELAY REPAIR INTERIOR
SAN SEW ® _
WATER
TORM SEW
=Bathtub ill Catch Basin
- -1111 Lavator - Grease Trap
INSPECTION DATE INSPECTION DATE = Toilet Ill Sum. Pum.
6,) N o / o /S/ Kit. Sink -Local Waste
-
yd Sink(other) 1111 Site Drain
-
all Shower - Laundry Stand Pipe
Floor Drain - Laundr Tray
- Dis•osal - Wat. Softner
(1� Q - Dishwasher 11111 D. Fountain
+�°-�� �F P. -Ejector
- Future outlets
** Violation notes on the reverse side