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HomeMy WebLinkAbout0030314-Plumbing (water heater) CITY OF OSHKOSH N ° 30314 L' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGJ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / 2 / - t--v PLAN NO. OWNER ) ir--6-2L DESIGNER USE /NATURE OF WORK K 4/ " BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation 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 Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR - 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 $ 3 `� O O Permit Fee Paid $ b ' 0 0 Park Dedication $ ISSUED BY Date 2- _.,td 9 2— Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 7 7.h g .-✓ a s -do 6,), AGENT /OWNER DATE ADDRESS /v76 Co), y t-t,_ ((- 62K TELEPHONE # 7 � zxc PEma £PPLI ON ADDRESS. ' ' �_ ,G? e� DATE 4r S 7;- PERMIT# . © 3 l OWNER , j Lc� -�- PURSER . �- NATURE OP WORE k 1_6,,..- 6,4-/ NEW RELAY REPAIR INTERIOR SAN SEW # # WATER ,Bathtub Sump Pump r' : ,. A. Lavat• E'ector Toilet Water Softener INSPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain �i Sink(other) Urinal _/CEO �/ / Waterheater Slop Sink Shower Grease Trap Floor Drain Local Waste Laundry Tub Site Drain Disposal Laundry Standpipe Dishwasher Catch Basin ** Violation notes on the reverse side]