HomeMy WebLinkAbout0055047-Plumbing (water heater) � G�� OF �SHK�S�"� No 0055047
�
OSH OSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER ;
Job Address 806 E NEW YORK AVE Owner WAYNE E PALMER Create Date' 10/02/96
Contractor SAMMONS PLUMBING Category 411 -Residential-Water Heaters Plan
'Bathtub Shower Ejector/Grind Dip Well F PrepBink Gar Drain
Whirlpool FloorIIrain Water Softner Drink Ftn Serv Sink Soda pisp
Lavatory Lndry Tray Local Waste Wait.St. Shamp Sink Coffee Maker - i
Toiiet Lndry Stndp Clothes Wshr Ice Chest ` FIrIVNst Sink Int Grease Trap
Res.Sink Disposal Bidet Exam Sink Catch Basin . Ext Grease Trap
Bar Sink Dishwasher Beer Tap ' Sculry Sink Wash FM 's
Water Heater ` ' 1 Sump Pump Dent.Oper. Hand Sink Urinal ;
Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm$ink , Sterilizer Surgeons Sink Ice Maker
Use/Nature }
of Work
ize a eria YPe onn. ype _
$anitary Sewer
Storm Sewer
Water Service `
�
i
Valuation $350.00 Permit Fees $10.00 ` `
Issued By Date 10l11/96
ermi oi e ;
In the performance of this work,I agree to perform all work pursuant to rules governing the described construction.
Signature Date ;
Agent/Owner :
Address 26 STONEY BEACH ROAD ' OSHKOSH WI 54901' -0000 Telephone Number