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HomeMy WebLinkAbout0021271-Plumbing (water heater) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 21271 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ~~~\~ ~c.~:~~ PLAN NO. OWNER DESIGNER USE/NATURE OF WORK ~\~ \. A~("'~-e(' c:::::: ' ~ ~'\:"'~~\C<" tJlf BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit ~oundation Class of Const. HEA7iNG 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 ----L WH ~'-~~ ~~~~~~ _ Disp _ WSoft _ CBasin u /c:= _Lav _Sh _OW _SP _OF _ San. Sewer _WC _FOr _ L Tub _Ur _ Storm Sewer _ Water _Sink Other _ Eject _SS FEES: Valuation $ I~. ISSUED BY tV [~ ~ Permit Fee Paid $ Date /0..00 /S/..L~/9c~ f / Park Dedication $ Final/O.P. uant to rules governing the described construction. SIGNATURE //%~? AGENT/OWNER ADDRESS TELEPHONE # PLUMBING PERMIT APPLICATION' ADDRESS owNfJ NATURE OF WORK ~ DATE PLUMBER ifF -z '"1.../1 SAN SEW ifF iff, WATER :.Bathtub Catch :.Basin STORM SEW Lavatorv Grease Trap Toile't Sump Pu.mp INSPECTION DATE INSPECTION DATE Kit Sink Local Waste Sink(other) Site Drain Shower Laundry Stand p1.pe Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. Founta1.n j Wa,ter Heater Ejector f Urinals Future outlets NEW RELAY REPAIR INTERIOR 1** Violation notes on reverse sidel