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HomeMy WebLinkAbout0003909-Plumbing (water heater) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N!! _03909 TYPE: BLDG 0 HTG 0 ELEC 0 PLBGcØ SIGN 0 ZONING - FLOOD PLAIN- HEIGHT~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- OWNER ~ 5/1 &t/¿¿//,,- /~~ /c./ I PLAN NO. ADDRESS DESIGNER C{Jq~-- /<"4'£ USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Class of Const. Height Occupancy Permit HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Eiectric Servo New 0 Change 0 Temp 0 Type- Volts- Amps- Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR (~_A~ - BT -'-- WH - Disp _Lav _Sh _DW _SP -WSoft _DF - CBasin - San. Sewer _WC _FDr -Ur - Storm Sewer _Water -Sink Other _LTub -Eject -SS FEES: Valuation $ ~ ~dL / ISSUED BY ~d~ " 7 ~./ Permit Fee Paid $ Z; ~4 Date -5, Park Dedication $ Finai/O.P. In the performance of this work I agree to perform ail work pursuant to rules governing the described construction. c=::=> ~"rueE ~.~~~~c- AGENT/OWNER DATE ADDRESS TELEPHONE #