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HomeMy WebLinkAbout0043198-Plumbing (water heater) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD y// N!f - 43198 ~P_E~ _ _ ~L~~ _~ _ ~T~. ~ _ ~~E~ _ ~ _ ~~B~ ~ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ . _F~~~D. ~~I~ _ _ _ _ _ _ ~~I~~T_ _ . _ _ ADDRESS 7/(; b-;- PLAN NO. OWNER f( 01--- _~~ DESIGNER ~~ /1// ~ Jt)" fl~ USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEA11NG CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System "" Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles . Circuits PLUMBING CONTRACTOR ~~ _BT _WH _Sh _FOr _ L Tub _Disp _OW _SP _ WSoft _OF _ CBasin <:::.- _Lav _WC _Ur _ San. Sewer _ Storm Sewer _ Water _Sink Other _ Eject __SS ./~ 0.0 FEES: Valuation $ r--' . . ISSUED BY ~~ IJ~~ r~// Permit Fee Paid $ ;:7---eJ ~ c. t'.,) ,/" Park Dedication $ Date 17g::hr FinaVO.P In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE (t/ ~ Vel ~~ AGENT/OW R 12/:19)1'1 DATE ADDRESS TELEPHONE # ADDRESS OWNER NAnm: PLmtBmG PEmtIT APPLICATION DA%E 4:<1~ I / _ PLmmD. j>- j)~ F~ ~/7 g-- PEmaT# ~~=-7 ~ SAN SEll # # iJAn:R .~ Batheub SUIIlD Purno "iTLJKM Sl!:tJ Lavatorr Ej ector Toilet: Water Softener INSPECTION DAn: msnCTIOlf DAm Kit. Sink Drinkin l< Fountain sj7/'fr SiDk(other) TT...;n.,1 / W::Iterheater Slop Sink <::l,,.n.TO'" Grease Trao Floor Drain Local Waste - /71-3 ND{J~ Laundry Tub Site Drain /1// 4~ Disposal Laundrv Standpipe - Dishwasher Catch Basin 1/, 1/6k~ ** Violation notes On the -reverse side1. nn.'ZRIOlt