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HomeMy WebLinkAbout0020826-Plumbing (water heater) � CITY OF OSHKOSH N°_ 20826 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� �9 � w PLAN NO. OWNER ���"` DESIGNER USE/NATURE OF WORK ,` ��� � BUILDING CON7RACTOR 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 —Lav —Sh DW DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer —Sink —LTub —Eject —SS —Water Other . � FEES: Valuation $ � v�' •� Permit Fee Paid $ f� ' �a Park Dedication $ ISSUED BY ~ Date �b�����Z' Final/O.P. I� � 7 " �� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE /�'^ - < AGENT/OWNER - DATE ADDRESS TELEPHONE# PLUMBING PERMIT APPLICATION ' t1DDRESS_ �1 �� � DATE '�'—'�3 ^� PERMIT �� a���� OWNER �'�-�" PLUI�ER -f� NATURE OF WORK _ ��?/�%����-�'-� .-� <!�'���-- � ' NEW RELAY REPAIR INTERIOR SAIv SEW �6 �� WATER athtub eatch Basin STQRM SEW avato Grease Tra Toilet Sump Pump INSPECTION DATE INSPECTION DATE Kit Sink Local Waste L ��` 'J � Z/�y/>J Sink(other) Site Drain �-� Shower Laundry Stan pipe ; �� Floor Drain Laundry Tray ,,- � �/��/y� Disposal Wat. So tner Dishwasher D. Fountain Wa,�er Heater Ejector Urinals Future outlets . ** Violation notes on reverse side