HomeMy WebLinkAbout0004698-Plumbing (water heater)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
04698
TYPE:
BLDG D HTG D ELEC D PLBG J;2L SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
/ <,;y::) 6c r'"
,:) - ~ ,.
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loo. - ~~ I --
It-.
BUILDING CONTRACTOR
~.Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Cons~.
'--:~
HEATING CONTRACTOR
Heat 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 74./-r.A'--t~/C~
_ BT -'- WH _ Disp
_FDr
_DW
_SP
_ WSoft
_DF
_ CBasin
_Lav
_Sh
_ San. Sewer
_WC
_Ur
_ Storm Sewer
_Sink
Other
_ L Tub
_ Eject
_SS
_ Water
7
FEES: Valuation $ ,250 <:~ _ Permit Fee Paid $ ~.<!'f<j V'
ISSUED BY A/~;y/ Date;:?~~2.'?--8/
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
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AGENT/OWNER
bid;'
,
.~JC~I -.- 2~~?~f/
DATE
ADDRESS
TELEPHONE #
17('(11
PLUMBER
....,
NAME OF OWNER
AD))RESS
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NEW SAN. WATER STORM RELAY sAN. WATER STORM
Main to Curb Main to Curb
Curb to Bldg. Curb to Bldg.
Elect. Pumps Repair
Septic Tanks
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 .