HomeMy WebLinkAbout0118083-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1018HAWKST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor
Bathtub 0 Shower 0 Water Soft"er a
Whirlpool 0 Floor Drain 0 Local Waste 0
Lavatory '0 LndryTray 0 Clothes Wshr 0
Toilet 0 Disposal 0 Bidet 0 Sculry Sink
Res. Si~k '0 Dishwasher 0 Beer Tap 0 Hand Sink
Bar Sink 0 SúinpPump' 0 Lab SInk 0 PlasterSink
Water Heater ,--1 Classrm,Sink ----2 Sterilizer ~ Surgeons Sink
Site Drain 0 'Breäkrm Sink 0 Dip Wen 0 F'P'óp'Sink
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink
Misc. 0
Fixtures
EPLACE GAS WATER HEATER "DEBIT ACÇT
~
0
0
'0
~
0
0
0
Material
Type
Size
Sanitary Sewer
Storm Sewer
Water Service
No
118083
02/0212006
"""~'C"""-""~' ~.
..ShampSink ~
FlrlWstSink 0
Catch Basin 0
Wash Ftn 0
Urinal 0
Standp Rec 0
Ice Maker 0
Gar Drain 0
Soda Disp 0
Coffe¡,Máke, ~
IntG.re~~,e Trap ~
Ext Grease Trap ~
RPZValve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
#
0
0
0
0
0
0
0
0
0
0
Conn. Týpe
0
0
0
0
0
Parcelld #
1602360000
Valuation
$0.00
Issued By
In the performance of this work. I agree to perform all work pursuant to rules govemlng 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 tI1is permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
"""""""""""""
AgerìtiòWner
Address 522 W. MURDOCK AVE OSHKOSH ~ 54901 - 2298 Telephone Number 231-9880
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Inspèction (i.e. Footirìg,Sèrvice, Final, etc.), Access into BuIlding if Sècurè (how do we gain entry), your Name and Phonè
Numbèr. Unless specified otherwise, we will assume the project is ready at the time the re<¡uèst is received. Work may
continue if the inspection is not performed within tWo business days from the time the project is ready.