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HomeMy WebLinkAbout0034115-Plumbing (water heater) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD Y// 34115 ~ N2 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ _ ~~E~ _ ~ _ ~~B~;{J _ ~I~~ _0 _ ~O_N~N_G_ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ /~~6 fSA~ OWNER a...-. PLAN NO. ADDRESS DESIGNER Rr df! USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S , ELECTRIC CONTRACTOR ! d Electric Servo New 0 Change 0 Temp 0 Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT -LWH .D~ _Lav _Sh _Disp _DW _SP _ WSoft _DF _ CBasin _ San. Sewer _ Storm Sewer _ Water -7'~ _WC _FDr _Ur _Sink Other _ L Tub _ Eject _SS FEES: Valuation $ ISSUED BY YG-S: C) 0 4ft' Permit Fee Paid $ Date / /0,0 c.v' :S-/~..:s-/Y.3 / ( Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~ Pk~ t AGENT/OWNER) ~--.,.- ~f- f] J DATE ADDRESS TELEPHONE # 1</./ D 0~ A.I)DllESS osmER. tiATOU 07 WORlC NEfl ~ PEDI": APPLICATION ~e ^ ~ D&:m ~-9-73_~ ---::~ PLmlBU D /?~C--,;y ~ 4./ t1 BEPAIll nn:!llIOll </// .3 Cj/Is-' SAN SE'Gi # # YlAn:R Bathtub Sumn Purno !::~ LavatDrv Eiector Toilet Water Softener '!NSPECT'!.ON DAn: INSPECTION DAm Ki:. Sink Drinkin q Fountain ~S-O~ Sink(other) n,...;...,,1 r~-1 ---7) I W"'te"'he"'ter Slop Sink r.,..ease Tran Floor Drain Local Waste Laundry Tub Site Drain Disposal Laundry Standnipe Dishwasher Catch Basin 05 ~ wt1 - ~-:;;;' ~l ** Violat:iOt'l not:es on !:he "verse side~