HomeMy WebLinkAbout0004696-Plumbing (water heater)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION A.ND RECORD
04696
TYPE:
BLDG D HTG D ELEC D PLBG.~ SIGN D ZONING
FLOOD PLAIN
HEIGHT
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ADDRESS
.2~7 ,TLa.~
ft!r/~ ~~/Ylr;;- JC-1.
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PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
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p. .....-.-,
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
1-1eat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR ~Y~At~
,
_BT LWH _Disp
_Sink
Other
_FOr
_ LTub
_OW
_SP
_ WSoft
_OF
_ CBasin
_Lav
_Sh
_ San. Sewer
_WC
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water
/
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FEES: Valuation $ ,260 Permit Fee Paid $ -~ . 0 Park Dedication $
ISSUED BY ~ ~~. Date? /...-..23 ~ F? Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~~ a ~^,A-
AGENT/OWNER
6rol
~01J .,' 25- F 7
DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
DATE C~;;!
"B.:
ADDRESS ;? Y:.{ J~~
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PLUMBER,
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()<lf7(
NAME OF OWNER
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NEW SAN. WATER STQRM RELAY SAN. WATER STORM
Main to Curb . Main to Curb
Curb to Bldg. Curb to Bldg.
Elect. Pumps Rej)air
Septic Tanks
UJ/f a"
. " <. ". . ..'
NEW REP. NEW REP. NEW REP.
Bath Tub Gar. Disposal Catch Basin
Wash Basin Dishwasher Conductors
Water Closet Laundramats Grease C.B.
Sink Water Softener Sump Pump
Water Heater San. Bubblers Bar Wastes
Shower Bath Urinals Range Boiler
Floor Drain Dental Cuspidors , Future Outlets r f I
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