HomeMy WebLinkAbout1994-Plumbing (water heater)
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CITY OF OSHKOSH N2 42597
PERMIT - APPLICATION AND RECORD
TYPE:
BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING - FLOOD PLAIN- HEIGHT-
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ADDRESS 1't18 q,~ Wb
OWNER 6):fÜ1.1g Ilb,#
PLAN NO.
DESIGNER
USE/NATURE OF WORK
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UJ,..tI
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New 0 Change 0 Temp 0
Type - Volts - Amps -
Fixtures
Switches
Receptacies
Circuits
PLUMBING CONTRACTOR V. tR 4ftAIIM~
_BT ..-1LJC _Disp
_WC
_FDr
_LTub
_DW
_SP
_WSoft
_DF
- CBasin
_Lav
_Sh
- San. Sewer
_Ur
- Storm Sewer
_Sink
Other
-Eject
_SS
_Water
FEES: Valuation $
ISSUED BY
Permit Fee Paid $
Date
/
/(J.Ò6 ,/
II-/() -'1 if
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform ail work pursuant to rules governing the described construction.
SIGNATURE ~ ~ ~ /J~J(j -9'J-
{J AGENT/OWNER DATE
ADDRESS tClj"Òó ¡; fbA&l.d..¿;J.:> ~ 9;)..)./921;1-
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