HomeMy WebLinkAbout0043013-Plumbing (water heater, disposal & add clothes washer) 5�io --�/ _
No - q�3013
� CITY OF OSHKOSH
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS PLAN NO.
OWNER �`-
DESIGNER
USE/NATURE OF WORK ` � _ � �
BUILDING CON7RACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEAT,ING 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 "`
_BT �WH �Disp —WSoft —CBasin � :
_Lav _Sh _DW —DF —San. Sewer
_WC _FDr _SP —Ur —Storm Sewer
—Sink �-�L���J C� _Eject --SS —Water
Other
j.,-
FEES: Valuation $ ��s� ��� Permit Fee Paid $ l°Z � r' � Park Dedication $
ISSUED BY —,,�� Date r� �" Final/O.P.
In the performance of this work I agree to perform ali work pursuant to rules governing the described construction.
SIGNATURE �� �' - `o �- �c g��
A ENTiOWNER DATE
ADDRESS �32 aW�I� � O �����{O
TELEPHONE N
PLDi�IDINC PEBi�T APPLIC.IIZON �e � ��r
�iDDRESS �.� 7/ -e ,-�'-�_ DATE �/ - ��—/� � PE�T� {-13�) I 3
OWNEH �' PLUI'�ER
. .
ruTUSE oF wox� � �-C�� 6: � C � �� -
NEUT RE7.AY BEPAIR INIERI08 '
AN SEFT # #
' �TATER Bathtub Sum Pu
Lavsto Ej ector
Toilet Water Softener
P ON DA1E INSPECTIOt� DA� Rit. Siak Drinkin Fountain
/�S�°� Siak(other
W te heater Slo Sink
-/ � J G ease Tra
N /�� �{ , I (/�� �� C�� � �j � � Floor Drain Local Waste
e � Laundry Tu
Site Drain
Dis osal Laundr Stand i e
Dishwasher Catch Basin
** Violation not_� on ttse rever�e side