Loading...
HomeMy WebLinkAbout1991-Plumbing (water heater) � CITY OF OSHKOSH N° 22102 ` PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �' SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ! r�G �"� �a��'� PLAN NO. OWNER /� � ��'`�� DESIGNER 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 ELEC�RIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps � Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR S —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 $ S a� � � �' Permit Fee Paid $ �v - c c Park Dedication $ ISSUED BY � G�`� Date r � �� FinaVO.P. In the performance of this work I agree to perform all work pursuant to rules governing the described const�uction. � SIGNATURE AGENT/OWNEfl DATE - ADDRESS TELEPHONE# ' PLUMBING PERMIT APPLICATION ADDRESS /���' C`v�� DATE � 3 `'� PERMIT�k ��/'v:'`- OIdNER �' PLUI��R �� � NATURE OF WORK � � G� %5' `�`S� <- . � n NEW LAY REPAIR INTERIOR SAN SEW �� �� : WATER Bathtub Catch Basin ORM SEW Lavator Grease Trap Toilet Sum Pum INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste Sink(other) Site Drain ��!.�� ����� Shower Laundry Stand Pipe : Floor Drain Laundr Tra Dis osal Wat. Softner Dishwasher D. Fountain / Water Heater Ejector inals Future outlets ** Violation notes on the reverse side �