HomeMy WebLinkAbout1993-Plumbing (water heater)
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CITY OF OSHKOSH N233324
PERMIT - APPLICATION AND RECORD
:':P.E:. .~L~~.~ .~T~.~. ~~E~.~. ~~B~.M. ~I~~.~ _~O_N~N~.~- _F~~~D_~~I~~- ~~I~~T~
ADDRESS~ ¡J ~~rd Ave,;
OWNER Clift' l:{obJ
PLAN NO.
DESIGNER
USE/NATURE OF WORK r.e./Jloce.. IA/ok;- hf'af-er
.
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Const.
Height
Occupancy Permit
Foundation
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
Fixtures
New D Change D Temp D
Type - Volts - Amps-
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR \Sammons
_BT -*WH _Disp
_Lav _Sh _DW
_WSoft
- CBasin
- San. Sewer
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_DF
_WC
_FDr
_LTub
_SP
_Ur
- Storm Sewer
_Sink
Other
_Eject
_SS
_Water
FEES: Valuation $ ,~<)O.OO
ISSUED BY -#Z-
Permit Fee Paid $
Date
/0. <::> <:>
Park Dedication $
Final/O.P.
'1'-.2 '7-7' y
In the performance ot this work I agree to perform all work pursuant to rules governing the described construction.
SIGNAT~ '
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AGENT/O~
4-:ZC/-'13
DATE
ADDRESS
TELEPHONE #