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HomeMy WebLinkAbout0034451-Plumbing (water heater) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N~ qff 34451 ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ _ C? _ ~~B~~ _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS 'db ~iJ /1M +, V ~II. ~l'\.... OWNER I-ovva ifLL, ~,k01Jh fJt)fJ/ PLAN NO, DESIGNER USE/NATURE OF WORK f2t.pIMA wI{- plhCO BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING 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 _BT f4- _ WSoft PLUMBING CONTRACTOR r .,.-.-e.1..uJz ) --L WH _Sink Other _ Eject _SS _ CBasin _ San. Sewer _ Storm Sewer _ Water ~ _Disp _WC _FDr _ L Tub _DW _SP _DF _Ur _Lav _Sh FEES: Valuation $ ISSUED BY '1()tJ.gP ~. Permit Fee Paid $ Date lD.tJP &( )<1113 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 /!)e:J ?J1L 12 AGENT/OWNER ADDRESS TELEPHONE # PLmmINC nllHr! APP.I.ICA'rION /6 /S~ AIlD1lESS ? O;L C, ;t/ -r y ~ IlA%! I ~b ;/9 ~ , PDIIIff OWNER L ~ PL1JHBD. ~ NA'.'I:tm: OF WOU: f{ .J2~..JL J1/tI' . . . i 1/ NEW RELAY REPAIR nrmnOlt '1// 5~ ~ [;/ I . SAN SEW # I itlA'!ER Bathcub I Sump Pumo ~~ Lava COr"l7 Ej ector ToileC Water Softener !NSPECT'ION DA'!E msnC'nON DA'%E Kic. Sink Drinkin Q: Fountain !i yoo ~ Si.Dk(otber) Th"; no:! 1 !/III! 7//17'3 7 W",terheater Slop Sink Grease Tran Floor Drain Local Waste Laundry TUD Site Drain Disposal Laundrv Standpipe Dishwasher Catch Basin ** Violation ~~ees on th~ ~everse sidet