HomeMy WebLinkAbout0050802-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 11 JOHNSON AVE
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner DAVID E BUTZLAFF
Category 411 -Residential-Water Heaters
Contractor SAMMONS PLUMBING
Bathtub Shower
Whirlpool Floor Drain
Lavatory Lndry Tray
Toilet Lndry Stndp
Res. Sink Disposal
Bar Sink Dishwasher
Water Heater 1 Sump Pump
Site Drain Classrm Sink
Roof Drain Breakrm Sink
Use/Nature
of Work
Valuation
Issued By
Ejector/Grind Dip Well F Prep Sink _
Water Softner Drink Ftn Serv Sink _
Local Waste Wait. St. Shamp Sink _
Clothes Wshr Ice Chest Flr/VUst Sink _
Bidet Exam Sink Catch Basin _
Beer Tap Sculry Sink Wash Ftn _
Dent. Oper. Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec _
Sterilizer Surgeons Sink Ice Maker
No 0050802
Create Date 01 /31 /96
Plan
Gar Drain _
Soda Disp _
Coffee Maker
Int Grease Trap _
Ext Grease Trap
WTR HTR
$350.00
Permit Fees $10.00
Permit Voided
Date 02/05/96
In the pertormance of this work, I agree to pertorm all work pursuant to rules governing the described construction.
Signature Date
Address 11 JOHNSON AVE
Agent/Owner
OSHKOSH WI 54901 - 7377 Telephone Number
~ Sanitary Sewer
Storm Sewer
Water Service