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0022112-Plumbing (water heater)
~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 22112 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - DESIGNER /570 3 ~ G-~ a-~ ~~~~ PLAN NO. ADDRESS OWNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation 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 PLUMBING CONTRACTOR _BT -.LWH s~~ _Sink _FDr _LTub _Disp _DW _SP _ WSoft _DF _ CBasin w/C- _Lav _Sh _ San. Sewer _WC _Ur _ Storm Sewer _ Eject _SS _ Water Other ISSUED BY 15C,;?-,oc k).;ea~ Permit Fee Paid $ Date Park Dedication $ Final/O.P. FEES: Valuation $ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ~~ SIGNATURE ~G'~ DATE ADDRESS TELEPHONE # NATURE . /5163 d..~~J ?.---.-~6'-~ OF WORK Ii R. ~ t.J 1/ NEW LAY REPAIR PLUMBING PERMIT APPLICATION DATE / / 3/ ;; / PERMIT~F PLUMBER1 / ...f'~ tP IS b;2 ,t!:J I.'P ;J.,;2. II :J..... ADDRESS OWNE R i SAN SEW ~F ~F WATER Bathtub Catch Basin STORM S:5W Lavatory Grease Trap Toilet Sump Pump INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste Ipl-Yr/ Sink(other) Site Drain ();{ Shower Laundry Stand Pipe Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. Fountain I Water Heater Ejector Urinals Future outlets INTERIOR t** Violation notes on the reverse side}