HomeMy WebLinkAbout0050321-Plumbing (water heater) a) CITY OF OSHKOSH No 0050321
OSHKOSH PLUMBING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1211 W SO PARK AVE Owner DONALD G ZIEBELL ETAL Create Date 12/19/95
Contractor GLAZE PLUMBING Category 411 Residential -Water Heaters Plan
Bathtub Shower Ejector /Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain Water Softner Drink Ftn Sery Sink Soda Disp
Lavatory Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest Flr/Wst Sink Int Grease Trap
Res. Sink Disposal Bidet Exam Sink Catch Basin Ext Grease Trap
Bar Sink Dishwasher Beer Tap Sculry Sink Wash Ftn
Water Heater 1 Sump Pump Dent. Oper. Hand Sink Urinal
Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use/Nature
of Work 40 GAL NG WTR HTR
Size Material Type Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation $425.00 Permit Fees $10.00
Issued By
Date 01/02/96
Li Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address 1211 W SO PARK AVE OSHKOSH WI 54901 0000 Telephone Number