HomeMy WebLinkAbout0002622-Plumbing (relocate water heater) .
� CITY OF OSHKOSH No 02622
` PERMIT — APPLICA��ION AND RECORD �
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG (�` SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS C� .,�i^���r///I 7 G� PLAN NO.
OWNER �
DESIGNER
" USE/NATURE OF WORK �
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Ciass 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
PWMBING C�NTRACT�R �..1 l
—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 $ rmit Fee Paid $ Park Dedication $
ISSUED BY Date Final/O.P. 1v�,2�e�
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR i� %t/�''�-
AGENT/OWNER DATE
ADDRESS
TELEPHONE N
PLUMBING PERMIT APPLICATION
PLUMBER t�C�'(�'��-7,� ,,, DATE 1 �ll `1 -�
NAME OF OWNER y�. ,G / �
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NEW f SAN.' WATER STORM RELAY SAN. WATER STORM
riain to Curb Main to Curb
Curb to Bld . Curb to Bld .
Elect. Pum s Re air
Se tic Tanks
NEW REP. NEW REP. NEW REP .
Bath Tub � Gar. Dis osal Catch Basin
Wash Basin ,�ishwasher Conductors
Water Closet Laundramats Grease C.B.
Sink 1 Water Softener Sum Pum
Water Heater / San. Bu'�blers Bar Wastes
Shower Bath Urinals Ran e Boiler
Floor Drain Dental Cus idors Future Outlets