HomeMy WebLinkAbout0022369-Plumbing (water heater) CITY OF OSHKOSH N2 22369
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG [ler SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS v ' t _ PLAN NO.
OWNER /4-_.-& e4-11 ...0.-1.-,--,"
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR P _ze
BT L WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ -, ° ° , a o Permit Fee Paid $ /0 e ' / ° Park Dedication $
ISSUED BY -1 Date ' j 9 i Final /O.P. / *" . -9 Y
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE i -. _.!�,...
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLI1-----4/( ATION �
ADDRESS 202-Lt E i(v,t �d DATE 2 PERMIT#
OWNER 'r(Pn-o-L L j
-e(5 P LUMBED
NATURE OF WORK /V6 l�f/!�'7�� ' ' n - -
NEW RELAY REPAIR INTERIOR
SAN SEW # #
WATER Bathtub Catch Basin
STORM SEW Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Sink(other) Site Drain
cif Shower Laundry Stand Pipe
/`�� /�� Floor Drain Laundry Tray
Disposal Wat. Softner
Dom' hwasher D. Fountain
f/Water Heater Ejector
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Urinals Future outlets
t re,,,... .V,1/4. LL
f** Violation notes on the reverse side]
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