HomeMy WebLinkAbout0031673-Plumbing (water heater)
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/~ CITY OF OSHKOSH N° 31673
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG (~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
------------JJ--- -_---,L ---------------------------------
ADDRESS
/3o a
OWNER ~"~~
PLAN NO.
USE/NATURE OF WORK
rd
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
# Rooms
# Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
Volts Amps
Circuits
PLUMBING CONTRACTOR
-. BT ~ WH - Dis
P
- WSoft
- CBasin
- Lav - Sh _ DW - DF -San. Sewer
- WC - FDr _. SP - Ur _ Storm Sewer
-Sink - LTub Eject - SS
- Water
Other
FEES: Valuation $ S~17~ ~ ~ Permit Fee Paid $ ~ ° ` o G
Park Dedication $
ISSUED BY_ Date ~~ ~ 3 ~~- Final/O. P.
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AlitN I/OWNER
ADDRESS
Ic ~ ~r
D TE
TELEPHONE #
PLDL~II~G PERMIT APPLICATION
ADDRESS .~ ~ ~ DATE ~S- Z
PERMIT# ~~~ ~~
OWNER ~O PLIIMSEB ~
NATURE OF GTaRE ~ (',, ~ /rl
~ ~= P
CJ~-
`~~ti,~?s
** Vint nr; n~ ..~"as an [h Twerae side
~
Bathtub
Lavato #
Sum Pu
E'ector
Toi t Water Softener
Kit. Sink Drinkin Fountain
sink other .
W to he ter Slo Sink
e se Tra
Floor Drain Local Waste
Laundry Tu Site Drain
Dis osal Laundr Stand i e
Dishwasher Catch Basin