HomeMy WebLinkAbout0011015 Plumbing (Fixtures)PERMIT —�4PPLICATIOId AIVD RECORD CITY OF OSIiKOSH
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r� Ad�ress o _—�—^Y
Lot Block W ard Subdivision
Type of Permit: Building ❑ Electrical ❑ Heating ❑ Plumbin� Sign ❑ Wrecking ❑ Occupancy Permit
Nature of Work
PLUMBING CONTRACTOR �
Bu. San. Sewer Curb to Bu.
Bu. St. Sewer Curb to Bu.
Water Service
Bath Tub— �� Floor Drain —
Wash Basin Garbage Disp.
Water Closet Dish Washe� _
Kit. Sink Laundry Mach.
Water Heater Water Soft. —
Shower Bath Bubbler
Plumbing Fees
Main to Curb:
Main to Curb
Urinal
S. Sink
Catch Basin
S. Pump _
B & S W aste
Conductors _
Total Fees
Sewer Fees
HEATING CONTRACTOFf
Fuel: Gas ❑ Oil ❑ Elec. ❑ Solar ❑ Solid ❑
Conditioning Forced Air ❑ H.W. ❑ Elec. Base ❑ Steam ❑ Radiant ❑
System Gravity � Supplementary ❑ Air Cond. ❑ Ventilation ❑
Chimney: "A" ❑ "B" ❑ Direct Vent ❑ Con. Burner ❑
Calculated Heat Loss System BTU Rating
ELECTRIC CONTRACTOR
Electric Service: New
Description-Type
Fixtures
Appliances
Switches
Changes
_ Volts
Recep's
Temp.
BUILDING Use
General Cont. —
Roof
Foundation
Size:
Height: —
feet wide X feet long
Width of Lot
Stories and Basement
�I� 11015
Id. No.
Zoning Flood Plain
_ Insp. Permit Date
Siding
Type of Construction
a
0
�
a
v
0
Square feet area
above Grade
No. of Rooms
Mason
Carpenter
Architect
Inspections -
Footing Foundation _
Electric Service R.I. _
Sewer Water Service
Final ./
Estimated Cost �� Fees Paid S �� � Date �
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 orwire fence will remain in position until removal is approved by the
Building Inspector. Y
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.
Amps
Circ's (Signed)
Address
By
Pho
Electrical Signs � v
Address /�l��- 1� l C������ Phone
ner
Agent