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HomeMy WebLinkAbout0017451-Plumbing (water heater) � _ CITY OF OSHKOSH N° 17451 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � � � PLAN NO. OWNER_ �l/(�r e ��� C-� P� DESIGNER USE/NATURE OF WORK i� .� /, " 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 � G —BT �WH _Disp _WSoft _CBasin —Lav _Sh DW _DF _San. Sewer —WC FDr _SP _Ur _Storm Sewer —Sink _LTub Eject _SS —Water Other � FEES: Valuation $y�9� Permit Fee Paid $_1<�� Park Dedication $ ISSUED BY ��i , ��' � Date_��—�— t�_ Final/O.P. t1 � � In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE A N WNER DATE ADDRESS TELEPHONE# PLUMBING PERMIT APPLICATION ADDRESS L U_� W �"` DATE �� � �-" �`, PERMIT 4k � 7�` � � OWNER � - PLUMBER ��G��ti'rvt_ec.i� NATURE OF WORK L� � NEW RELAY REPAIR INTERIOR SAN SEW �k �� WATER athtub eatch Basin STORM SEW avator Grease Tra Toilet Sump Pump NSPECTION DATE INSPECTION DATE Kit Sink Local Waste � L Sink(other) Site Drain ������C� ��T`�"�1�' Shower Laundry Stan pipe Floor Drain Laundry Tray : Disposal Wat. So tner Dishwasher D. Fountain Wa,ter Heater Ejector' Urinals Future outlets ** Violation notes on reverse side