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HomeMy WebLinkAbout026353 - Plumbing (replace water heater) CITY OF OSHKOSH N°_ 26353 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG [ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS I J, ''2 3 /7,7,-,-- J PLAN NO. OWNER --- 4-- /74.,--4.--7 .C7 —le—f—,--,—, ---__ DESIGNER USE/NATURE OF WORK Ci‘--.) el 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 . "` "---,...--r� '"''-' BT /WH Disp WSoft CBasin Lay Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation $ '? • 4 d / C Park Dedication $ .> � f;ermit Fee Paid $ ISSUED BY �'�-�cl� ..,, Date ' -9/ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE DATE AGENT,'OWNER f ADDRESS 1 L 0 S 2 'Q.- 1 35'_L ) 11 ? TELEPHONE# PLUMING PERMIT APPLICATION 2 S _, ADDRESS 13 a I.. z -- DATE / _ ".2 S - PERMITO zt ,,,,..-��..z -- �- ��z_s!,�-�- PLUMBER OWNER c r 1 - NATURE OF WORK INTERIOR NEW RELAY REPAIR �© SAN SEW _—_Bathtub Catch Basin WATER ' Lavato Grease Trap -- Toilet I S •.4 _Local Waste NSPECTION DATE INSPECTION DATE Site Drain -Sink other) -Laundry Stand Pipe / _ - Shower NM Laund Tra A,1�) ( Floor Drain 11111 -Wat, Softner Dis.osal MI D, Fountain MI Dishwasher _Ejector 11111111111 ' Future outlets ** V . _ t' •n no e- on the reverse side