HomeMy WebLinkAbout034498 - Plumbing (water heater) 5/l/
CITY OF OSHKOSH N° 34498
` PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS
/d � /°YT Vi 'C -,,,y., PLAN NO.
OWNER Xt ti^-' / -Le..-c...)-
DESIGNER
USE/NATURE OF WORK cti /4"4
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 �O= -n 1(a----7-E 4-e'7-,-- ( /1-e...-4, .4- /4A___O
BT _L WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
•��,e a ACS, 0 Z+ /FEES: Valuation $ Permit Fee Paid $ Park Dedication $
ISSUED BY Date �,fS3 Final/O.P. /�/lq
j
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE if. G ../""4-- La-tx.ow.l./'../ 6- 02R-93
'73
AGENT/OW DATE
ADDRESS �JJ.-� 6-462.ar-4:642-) 22 c9 - 7"S
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TELEPHONE#
FLENBING PERMIT APPLICATION
ADDRESS /S -
OWNER Z-1,� 'I,1'c,.1-( -. DAB `7_? � ,-,PERIlI?# � Ye- 6e-
PLDNBER Zr..- di 7 r vc_ e. AID
MATURE OF WORK ( .= 1'-/jj/ /
NEW REPAIR INTERIOR
SIAN SEW
WATER #
Bathtub
Su Pu
WORM SEW ',Avatar? Ejector m
INSPECTION DATE Toilet Water Softener
DATE 'tit. Sink Drinking Fountain
���,,��/ 7///11; Sink(o
Sink(other) _jjy i na 1
444 3 ✓ Waterheater Slop Sink
Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
--I
** Violation notes on the reverse sides