HomeMy WebLinkAbout030235 - Plumbing (water heater) CITY OF OSHKOSH N9 30235
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /Y2 ^ 4T V..a--c-r-c-E---- PLAN NO.
OWNER
L
DESIGNER
USE/NATURE OF WORK oe. - --r,c.:____ /1-/
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 1-(-) -,--
BT 1 WH Disp WSoft CBasin f'Y
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ K 0 ..r' C Permit Fee Paid $ /0 • G C3
Park Dedication $
ISSUED BY filL Date P//7/7.?-- Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1 t\d (-1 U..dint,c) /`(it -1 f3,
�• AGETiOWNER DATE
ADDRESS \0O3 '�J-H O r gal >--) Xi
TELEPHONE#
PLUMING PERMIT APPLICATION
DDRESS % " � L r > —i? ) _ _ DATE
PERMITS `;
PLUMBER t�< �
OWNER
NATURE OF WORE -rz-t' ' - c _ 't
NEW ' RELAY REPAIR INTERIOR
. NMI e
Bathtub Su Pu
WATER 111111111 Ejector
•_ 4 A, 1.11111111111PrM51111111111111111111.11 Toilet 111111 Water Softener
INSPECTION DATE Kit. Sink IN Drinkin • Fountain
S ON DATE g other
Ell Slo. Sink
Nor) 5� G ease Tra•
�
Floor Drain lill Local Waste
Laundry Tu. IN Site Drain
Disposal IIIII Laundr Standpipe
Dishwasher - Catch Basin
** Violation notes on the reverse side