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HomeMy WebLinkAbout0022118-Plumbing (water heater) � _ CITY OF OSHKOSH N°_ 22118 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ,� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - -/�j- - - - - - - - - - - - - - - -G�-z:���- - - - - - - - - - - - - - - - - - ADDRESS � � � �-"�'�-'�% rLAN NO. OWNER � -2i�-� /�"�� DESIGNER d USE/NATURE OF WORK -�-->� - � 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 � —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 $ T�O � t' c Permit Fee Paid $ � G ' � �� Park Dedication $ ISSUED BY���� ' Date � �� 9� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described consti uction. SIGNATURE � ' ` AGENT/OWNER DATE ADDRESS � TELEPHONE# PLU�4BING PERMIT APPLICATION ADDRESS '�''1c�5 �� �(-�.-+�-�„�C'.-r.-�' DATE �,�-3�`�/ PERMIT�� �� l/�S pWNER �.�c.�—(1 � �-� --- PLIJMB�R �� NATURE OF WORK �1 �Q,Q�: �-� �� � �� % �'v —� NEW RELAY REPAIR INTERIOR SAN SEW �k �� WATER Bathtub Eatch Basin RM SEW •� Lavator Grease Trap Toilet Sum Pum INSPEC�TION DATE INSPECTION DATE Kit. Sink Local Waste Sink(other) Site Drain Shower Laundry Stand Pipe Floor Drain Laundr Tra Dis osal Wat. Softner Dishwasher D. Fountain Water Heater Ejector rinals Future outlets ** Violation notes on the reverse side