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Home My WebLink About0024082-Plumbing (water heater) n CITY OF OSHKOSH N° 24082 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS /� �� ' ^'�- PLAN NO. OWNER �� DESIGNER J - �G?� � USE/NATURE OF WORK �-,� BUILDING CON7'RACTOR 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 p —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 $ 3��- � � Permit Fee Paid $ '�� `d d Park Dedication $ ISSUED BY � �' Date � _`'� ��! Final/O.P. : In the performance o is work I agree to perform all work pursuant to rules governing the described construction. SIGNAT / �� / AGENT/O DATE ADDRESS G� � C� �:%��`-�� . � TELEPHONE# PLUMBING PERMIT APPLICATION ADDRESS �3Q/ �.-�.--. D .�-1 S- 9/ v2 dc�� ATE PE RMI T �� /— OWNER -��- PLU1rBER n � /�r.v,-v�.-��-- NATURE OF WORK l� C�J (� S NEW RELAY REPAIR INTERIOR SAN SEW �� WATER athtub eatch Basin STORM SEW avato Grease Tra Toilet Sump Pum N PECTION DATE INSPECTION DATE Kit Sink Local Waste � � � S, �9_ �� Sink(other) Site Drain Shower Laundry tan pipe v Floor Drain Laundry Tray � � � S 4� Disposal Wat. So tner Dishwasher D. Fountain Wa.�2r Heater Ejector Urinals Future outlets �d--� P.��` F'-�- *� Violation notes on reverse side .� .