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HomeMy WebLinkAbout0022408-Plumbing (water heater) /� CITY OF OSHKOSH N° 22408 : `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS 3 ''Z 3 � � � r�� PLAN NO. OWNER ��l � DESIGNER USE/NATURE OF WORK /1 ��–�-� �-' BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HF�TING 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 Z —BT �WH _Disp —WSoft —CBasin w —Lav —Sh _DW _DF _San. Sewer —WC FDr SP —Ur —Storm Sewer —Sink _LTub —Eject —SS —Water Other / FEES: Valuation $ �g�• � � Permit Fee Paid $ �� ' `'' � Park Dedication $ ISSUED BY_��'`��t� Date �` �� �� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ��—� � � AGENT/OWNER 9 TE ADDRESS TELEPHONE# PLUI�ING PERMIT APPLICATION - ADDRESS ,3 �-� �"v f �� DATE �� �'���� ERMIT�k ZZ Sfv � OWNER <z-ti� /''�..�� , PLUi��R� � Z �-z.�--� � �� NATURE OF WORK � ���-rl� ��1- ���� � NEW RELAY REPAIR INTERIOR SAN SEW �� �k WATER Bathtub Catch Basin S� Lavator Grease Trap Toilet Sum Pum INSPECTION DATE INSPECTION . DATE Kit. Sink Local Waste /� Sink(other) Site Drain A/D /� d�/,�/7� Shower Laundry Stand Pipe �� t Floor Drain Laund Tra Dis osal Wat. Softner Dishwasher D. Fountain Water Heater Ejector inals Future outlets ** Violation notes on the reverse side �