HomeMy WebLinkAbout0022192-Plumbing (water heater)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
22192
TYPE:
BLDG 0 HTG 0 ELEC 0 PLBG6 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
~~
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR .5: ~.
_ BT ~ WH _ Disp _ WSoft
_ CBasin
wP<-
_FDr
_DW
_SP
_DF
_ San. Sewer
_Lav
_Sh
_WC
_Ur
_ Storm Sewer
_Sink
Other
_ L Tub
_ Eject
_SS
_ Water
FEES: Valuation $ S-g rJ - 6 0 Permit Fee Paid $
ISSUED BY W ~ Date
1/
/0.. C t:,V
Park Dedication $
Final/O.P.
,/ / g/"7 /
( /
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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~" ':'
DATE
ADDRESS
TELEPHONE #
ADDRESS
OWNER
'NATURE
PLUMBING PERMIT APPLICATION
DATE // /R /9/ PERMIT# ;; t? I ,?...L.
, /. . .
..5~'
PLUMBER
SAN SEW 4F iF
WATER Bathtub Catch Basin
STORM SEW Lavatory Grease Trap
Toilet Sumo Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Sink(other) Site Drain
Shower Laundry Stand Pipe
Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
/ Water Heater Ejector
TTrinals Future outlets
NEW
RELAY
REPAIR
INTERIOR
t** Violation notes on the reverse sidel