HomeMy WebLinkAbout0037776-Plumbing (water heater)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
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37776
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ADDRESS
4~d lJJìVL
'1i)\/V\ S1-DWe..,
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
h LfI2 .
IAJ+J-
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Canst.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Serv.
New D Change D Temp D
Type - Volts - Amps-
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR :'S?Lrnm lìn'\
_BT -LWH _Disp
_DW
_Lav _Sh
_WC _FDr
_Sink _LTub
Other
FEES: Vaiuation $ Lf6/J . ro
ISSUED BY ~
_WSoft
_DF
- CBasin
- San. Sewer
~
_SP
_Ur
- Storm Sewer
_Eject
_SS
_Water
Permit Fee Paid $
Date
'0 OD r/
I . Park Dedication $
~2.}-11- Final/O.P.
In t~or::s::::s I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE ¡ -------
/ AGENT/OWNER DATE
ADDRESS """-
~~ TELEPHONE.
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