HomeMy WebLinkAbout0027557-Plumbing (water heater)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
27557
TYPE: BLDG D HTG D ELEC D PLBG JP SIGN D ZONING
FLOOD PLAIN
HEIGHT
- - . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
OWNER
:7-/1 t
b~8
PLAN NO.
ADDRESS
DESIGNER
f~ G-Jtt
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
:# Stories
Class of Const..
Height
Occupancy Permit
Foundation
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
_BT JWH
a~t
_ ISp
0~
_Sink
Other
_FDr
_ LTub
_DW
_SP
_ WSoft
_DF
_ CBasin
_ San. Sewer
~
_Lav
_Sh
_WC
_Ur
_ Storm Sewer
'"
_ Eject
_SS
_ Water
FEES: Valuation $ 7 .s-O. 0 " Permit Fee Paid $
W~
,
IV_DC> /'
V /park Dedication $
'3--6'-7> '2- Final/O.P: 1-<6" -"1'a
ISSUED BY
Date
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE~ 1 de
ADDRESS f"3"2b Pww~
3 !(,~:rE
AGENT/OWNER
~~
"2~- - L\,,7~
TELEPHONE #
ADDRESS
OWNER
NATURE
L , PLUMBING PERMIT APPLICA'IIO~
d. !! ~ DATE 1- t ' ?.h PERMIT#
~ a (j e;tr U PLDl!BER D /f iiP~,
OF WORK f\9..,~ 11---'. H.( I )
~~ LAY REPAIR INTERIOR
;270"'57
SAN SEW I I
WATER Bathtub Catch Basin
STQRM SEW Lavatorv Grease Trap
Toilet I Sumo Pump
INSPECTION DATE INSPE en ON DATE Kit. Sink Local Waste
VJt4 g Sink(other) Site Drain
1'- Shower Laundry Stand P1.pe
.~"':. Floor Drain Laundry Tray
Disnosal Wat. Softner
11 Dishwasher D. Fountain
. d'- '(SD~ Wat"er Heater Ejector
TT"',;"'als Future outlets
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