HomeMy WebLinkAbout0026060-Plumbing (water heater) CITY OF OSHKOSH N°_ 26060
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS SO 7 C) PLAN NO.
OWNER tr-GC..�
DESIGNER X .i2-1-&-c-e- -1_-ev;.- /
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
PLUMBING CONTRACTOR �
BT WH Disp WSoft _ CBasin
Lav _ Sh DW DF San. Sewer
WC — FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ 9 45-6 ' 0 0 Permit Fee Paid $ ! 0 ' o / Park Dedication $
ISSUED BY Date rO - ''.S - "' - 2'/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /g /� o�J/
AGENT /OWNER D E
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS 5 O Y e- t" 2 ,d--e. '° - .z S- . ,?
DATE . �/ PERMIT# 60 e'a
OWNER _' �� ua- PLUMBER 2 4 =
NATURE OF WORK �y .
NEW RELAY REPAIR INTERIOR
SAN SEW #
WATER Bathtub Catch Basin
STORM SEW 1
Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
/ 1 1 I C - ,,IS Sink(other) Site Drain
/ V �I Shower Laundry Stand Pipe
Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
1 Water Heater Ejector
Urinals _ Future outlets
P** Violation notes on the reverse side]