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HomeMy WebLinkAbout0020888-Plumbing (water heater) /'� CITY OF OSHKOSH N° 20888 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ���() �it��� PLAN NO. OWNER l//L�6.�,��s( �_«�-�/E'-m DESIGNER USE/NATURE OF WORK � - BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit � HEA�ING 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 ��,:���Y1,� —BT �WH _Disp —WSoft CBasin l.��"" —Lav —Sh —DW —DF _San. Sewer —WC FDr _SP —Ur Storm Sewer —Sink _LTub Eject SS —Water Other � FEES: Valuation $�9 7� Permit Fee Paid $���� Park Dedication $ ISSUED BY �� � ��,� Date �d �'�� Final/O.P.��' �- 1� In the per�er nc his work I agree to perform all work pursuant to rules governing the described construction. --._._. /��✓ SIGNAT � AGENT/OWNER DATE ADDRESS TELEPHONE# PLUMBING PERMIT APPLICATION Sp GJ, � ADDRESS � � T DATE PERMIT �� °?� S �c� OWNER _�.vi. �i-�-!.� S�-�/� . /�c,D� P UMBER �2�,.-s,..y.�.�.J,. NATURE OF WORK _.�� NEW RELAY REPAIR INTERIOR S AN S EW �� �k WATER athtub i Gatch Basin STORM SEW Lavator Grease Tra Toilet Sump Pump INSPECTION DATE INSPECTION DATE Kit Sink Local Waste ,� Sink(other) Site Drain � � �'�' `�/I L� Shower Laundry Stand pipe Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. Fountain Water Heater Ejector Urinals Future outlets ' ** Violation notes on reverse side