HomeMy WebLinkAbout0059693- Plumbing (water heater) CITY OF OSHKOSH
No 0059693
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1013 N LARK ST Owner CLEO V PAFFENROTH Create Date 08/12/97
Contractor SAMMONS PLUMBING Category 411 -Residential-Water Heaters Plan
Bathtub Shower Ejector/Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain Water Softner Drink Ftn Sery Sink Soda Disp .
Lavatory Lndry Tray Local Waste Wait.St. Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest Flr/Wst Sink Int Grease Trap
Res.Sink Disposal Bidet Exam Sink Catch Basin Ext Grease Trap
Bar Sink Dishwasher Beer Tap Sculry Sink Wash Ftn
Water Heater 1 Sump Pump Dent.Oper. Hand Sink Urinal
Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use/Nature WATER HEATER
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation $380.00 Permit Fees $10.00
Issued By Date 08/18/97
U Permit Voided
In the performance of this work,I agree to perform all work pursuant to rules governing the described construction.
Signature . . • Date
• Agent/Owner
Address 5711 GREEN VALLEY RD OSHKOSH WI 54901 -0000 Telephone Number 231-8635