HomeMy WebLinkAbout0007280-Plumbing (water heater)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
07280
TYPE: BLDG D HTG D ELEC D PLBG g. SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
/~c(~ /fw (Aa-~/
IIz-~AI/Kv~
PLAN NO.
ADDRESS
DESIGNER
ry Ie- c,- ~L Lq~'--
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
, Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELF.CTRIC CONTRACTOR
.\
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
't,:.
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR c:: // ~
_BT -LWH _Disp
_Lav
_Sh
_FDr
_ L Tub
_DW
_SP
_ WSoft
_DF
_ CBasin
_ San. Sewer
_WC
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
o? 7 -----~.
FEES: Valuation $ ~
ISSUED BY ~ ./'
tY .
Permit Fee Paid $
Date
)
r
'I/~~
Park Dedication $
Final/O.P. c::J' /;:Z/~r'
In the performance of . work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS / g~2 /hz;tLc~/ DA;E .d{!/4:~
OWNER 14/"~d b~{: PLUMBER G0c'/i/
NATURE OF WORK (--<./If- ~
NEW RELAY REPAIR INTERIOR
SAN SEW
WATER
STORM SEW
INSPECTION
DATE
INSPECTION
DATE
t** Violation notes on the reverse sidet
PERMITfF 6 ?;2?Q
fF
Bathtub
Lavator
Toilet
Kit. Sink
Sink(other)
Shower
Floor Drain
Dis osal
Dishwasher
Water Heater
rinals
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Catch Basin
Grease Trap
Sum Pum
Local Waste
Site Drain
Laundry Stand Pipe
Laundr Tray
Wat. Softner
D. Fountain
Ejector
Future outlets