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HomeMy WebLinkAbout0021115-Plumbing (water heater) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N~ 21115 TYPE: BLDG D HTG D ELEC D PLBG ¡8f SIGN D ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- DESIGNER -P7'æ~ ¿~ ~-- ~~.~~ PLAN NO. ADDRESS OWNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Ciass of Const. HEATING CONTRACTOR 'Heat D NC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Eiectric Servo New D Change D Temp D Type - Volts - Amps - Fixtures Switches Receptacies Circuits PLUMBING CONTRACTOR - BT --'- WH A1 ð'z.R~ _Lav -Sh _Disp _DW _WSoft _CBasin wJe.- _DF _WC _FDr _LTub _SP _Ur - San. Sewer _Storm Sewer _Sink Other _Eject -SS _Water FEES: Valuation $ Permit Fee Paid $ ) i!ð.Oð'/ ro .2.7': 5îð Park Dedication $ ISSUED BY Date Flnal/O.P. In the performance of this work I agree to perform ali work pursuant to rules governing the described construction. SIGNATURE ~'ÒJ~ IJ J.. "VLJ dGENTIOWNER (If -,)l1-9ð DATE ADDRESS VIr .131.9/ f / TELEPHONE #