HomeMy WebLinkAbout0015355-PlumbingCITY OF
PERMIT - APPLICATION AND RECORD CITY OF OSHKOSH
Address Owner
Lot Block Ward �� Subdivision _
Type of Permit: Building El Electrical El Heating El Plumbing, < Sign ❑
Nature of Work
PLUMBING CONTRACTOR `
Bu. San. Sewer Curb to Bu. Main to Curb:
Bu. St. Sewer Curb to Bu. Main to Curb
Water Service �r ��-
Bath Tub Floor Drain
/ Urinal
Wash Basin_ Garbage Disp.
S. Sink
Water Closet _ 3 _ Dish Washer
Catch Basin
Kit. Sink Laundry Mach..
S. Pump
Water Heater Water Soft.
B & S Waste
Shower Bath Bubbler
Conductors
Plumbing Fees 1e ,2,
— Total Fees
Sewer Fees 2,
HEATING CONTRACTOR
Fuel: Gas ❑ Oil ❑ Elec. ❑ Solar ❑ Solid ❑
Conditioning Forced Air ❑ H.W. ❑ Elec. Base ❑ Steam ❑ Radiant ❑
System High Eff. ❑ Supplementary ❑ Air Cond. ❑ Ventilation ❑
Chimney: "A" ❑ "B" ❑ Direct Vent ❑ Con. Burner ❑ Flue Damper & E.I. ❑
Calculated Heat Loss System BTU Rating
ELECTRIC CONTRACTOR
Electric Service: New
Description -Type
Fixtures Switches
Appliances
Changes
Volts
Recep's
Temp.
Amps
Circ's
Wrecking ❑ Occupancy Permit
BUILDING Use
General Cont. —
Roof
Foundation
Size:
Height:
feet wide X feet long
Width of Lot
f t.
Stories and Basement
ft.
N_ 15355
Id. No.
Zoning Flood Plain
Insp. Permit Date
Siding
Type of Construction .
Square feet area
No. of Rooms —
Mason
Carpenter
Architect
a
v
Q
Inspections -
feet above Grade
Footing Foundation
Electric Service R.I.
Sewer_ 7/.2�"/�-3Water Service
Final
Estimated Cost Fees Paid �% Date 12
TO THE BUILDING INSPECTOR: In accordance with Section 7 -18 of the Municipal Code of the City of Oshkosh, it is agreed that if work shall be
discontinued for a period of 30 days at any time for any cause after excavation work is commenced, a solid barrier, wall, orwire fence not less than
five feet in height shall be erected all around such excavation. Such barrier, wall or wire fence will remain in position until removal is approved by the
Building Inspector. X
In the performance of this work the undersigned agrees to abide by and do work pursuant to all statutes, ordinances,
codes, and rules governing the described construction.
(Signed)
Addre
By
(Authorized Signature)
Phone
r
Agent