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HomeMy WebLinkAbout0021406-Plumbing (water heater) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 21406 TYPE: BLDG D HTG D ELEC D PLBG % SIGN D ZONING FLOOD PLAIN HEIGHT .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ..... ... .. .. .. .. ... .. .. ... .. .. .. ..:.. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .... .. .. .. .. .. .. .. .. .. .. ADDRESS 17// Jk~ $~~ l .;~--'''- PLAN NO. OWNER DESIGNER (~ G,~ pfrf- USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit , Foundation Class of Const. .:t HEATING CONTRACTOR Heat D AlC 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 _BT -.LWH ;tf.~~ _ Disp _ WSoft _ CBasin w~ _Lav _Sh _DW _SP _DF _ San. Sewer _WC _FDr _ L Tub _Ur _ Storm Sewer _ Water _Sink Other _ Eject _SS ISSUED BY -3 7..s: 0 0 Permit Fee Paid $ 0..) F-d:.~ Date / /D, 00"// /I~f?/ ;?c3 I / Park Dedication $ FEES: Valuation $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE I.J.., ~ ;tIf'~ -?~ &0 AGENT/OWNER 11'- 9- i't? , DATE ADDRESS TELEPHONE # NATURE OF WORK (;_ / PLUMBING PERMIT AFPLICiiTION /7// /uc~L >r DATE 7-3- 7~ c..57~" C" L /2 ' PLUMBER ~C'''' ~.;, ~)// L/'y:' aCP 37c- RELAY REPAtR INTERIOR PERMITiF ;z /fLOk:: ADDRESS OWNER . SAN SEW if iF WATER Bathtub Catch Basin ~'T'ORM SEW Lavatory Grease Trap .. Toilet Sumo Pumo INSPECTION DATE INSPE CTI ON DATE Kit. Sink Local Waste OJ( $- " 3 -~/ Sink(other} Site Drain Showe r Laundry Stand Pipe Floor Drain Laundry Tray Disoosal Wat. Softner Dishwasher D. Fountain / Water Heater Ejector Hrinals Future outlets NEW t** Violation notes on the reverse sidel