HomeMy WebLinkAbout0116631-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 2300 wHrrE SWAN DR
Contractor FÒRREST PLu~Bí~dÜ:è
PLUMBING PERMIT - APPLICATION AND RECORD
Ov;;'e¡REXG/NÅNCY A BREGER '
Create "Date
Bathtub 0
Whirlpool 0
, Lavatory , 0
Toilet 0
Res" Sink 0
Bar Sink "0
Water Heater 1
Site"Drain'" . (j
Roof Drain ' 0
Mise: 0
Fixtu~e'
Showe," 0
Floor Drain 0
Lndry Tray 0
Disposal 0
Dishwasher ' 0
Sump Pump 0
Clàssrm Sink 0
Breakrrn"Sink ' "0
Ejecto,iGrind ~
tai~gory 411 . R~~id~ntial.Waf~r H~ate;'
;;';atersofÌ~erl 0 Wait. sf: 0 "Shamp Sink ~
"LòcaIViÌastè" J"",, 'O'lceChest 0 FlrlWstSink 0
Clothes Wsh¡ , 0 Exam Sink ' 0 Catch Basin 0
"8iCleC"""'---- ",,'" ". -0 Sculrý Sink 0 Wásh Ftn 0
BeerTap , 0 Hand Sink '0 Urinal' . 0
LàbSink Ple,terSink ~'S'tifndpRec' 0-
Sterilizer 0 Surgeons Sfnk 0 Ice Maker 0
'D1pw¡m-"'-~"'.-'o"'F'Prep'Sirik" "ó--¡;ãr-D¡åfii-----""'ó'
Drink"Ft"-------'" "'Ó"-SërvSil1k --. 0 SodaDisp' 0
Plan
Coffee Maker ~
Int Grease Trap ----.-2
Ext Grease Trap ----.-2
RPZValve' '0
Eye Wash Statn 0
'Wtr Sewer Mtrs 0
Deduct Meters 0
-Wt¡-Os¡"gell'ltrs'---"-Õ------ '-'
Size
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, ",- ~ ~cr,~ ,~" " """""""""""'~, O, ""
Material Type # Conn. Type
0
0
0
0
0
0
0
0
0
0
No EIV provided.
Parcelld #
1521550000
In tile performance of this work, I agree to perform all work pursuant to rules governing the described construction,
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement hOlder(~ /, to secur ny necessary approvals before starting sucl1 activity-
Signature ,,:¡.~..l--
Date
/tJ- f/ -¿;-;-
AgenVOwner
Address 5210 N LOOP RD LARSEN WI 54947 .0000 Telephone Number 920-836-3986
To schedule inspections please can the Inspection Request Unè äf2'3¡¡:5~'28--ñofi¡ï¡rïfiè :Aadr.ss; ÞèrmitNŒmb¡'¡; Type or
Inspéctiòn' (i.e- Footing, Service, Final, etc,), Access into Buirding if Secure (how do we gain entry); your Name and Phone
Number. Unless specifíed otherWise, weWiIl assumetlie íi,òjec!isready atfhëïíííìê'flie'¡ê¿juè¡¡ns'¡ê¿èí"èd: Wõ¡Krnãy , .,
'continue if the inspection is not performed within two business days from the time the project is ready:
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