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0104554-Plumbing (water heater)
~ CITY OF OSHKOSH No 1O4554 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job ,address 12qS-IO09VVMURDOCKAVE O,,mer DOUGLASFSWANrKE CreateD~te Contractor SAMf, I©NSPLUMBING C~tegcw 411-ResMenfi3f-Water!.;~f~s Plan B3thtub 0 Shower 0 Eiector/Gr~nd 0 Dip Well 0 FPrepS~r~k 0 Gar Drain 0 W~;iHpool 0 Floor Drain 0 Water Softllur 0 D h~k Ftn 0 S~v Sh~k 0 Soc!2 ~i$,., 0 Lavatory 0 Lndry Tray 0 Local Waste 0 Wait, St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 hff Grease Trap 0 Res. Sink 0 Disposal 0 ~3!det 0 Exam Sink 0 Catch Basin 0 E~:[ Grease Trap 0 Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sh~k 0 Wash Ftn 0 RF~Z Valve 0 Water Heater 1 Sump Pump 0 Dent. Opel. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0 Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature DUPLEX/ Install electdc water heater. *EIV form from Slim's Electric. of Work Sani~rySewer Storm Sewer Water Service Size Material Type # Conn. Type 0 0 0 0 0 0 0 Valuation $450.00 Plan Approval $0.00 Permit Fees $20.00 [] Permit Voided r Issued By Date 10/02/2003 In the performance of this work. I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address 522 W. MURDOCKAVE OSHKOSH WI 54901 - 2298 Telephone Number 231-9880 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. F.z~OM .:SAHHONS PLUMBING FAX NO, :9282318485 Oct. 81 20~3 02:45PM P8 Electric Imtlllaflo~ Ver~lcation I~) SLIM'S ELECTRIC INC. _2608. ,Oakwood ,Circle Oshkosh WI ~v~ ~ ~sm~d ~ e~-~ ~.n v,o~ ~ ,Sammon's 1209 W. Murd.,ock St. T~ t~,u~ ofthe ~ ~ o~. (Che~k One ~ ]3~s~a tl~ Natm~ ~Wod[) The wt~ ot'ais ~nki~ $ ~).00