HomeMy WebLinkAbout0035462-Plumbing (water heater)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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35462
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USE/NATURE OF WORK
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PLAN NO.
ADDRESS
OWNER
DESIGNER
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT ~WH
k-1--~ ...s.~
_ Disp 0 _ WSoft
_WC
_FDr
_ L Tub
~Ur
_ CBasin
_ San. Sewer
_ Storm Sewer
_ Water
~.
_Lav
_Sh
_DW
_SP
_DF
_Sink
Other
_ Eject
_SS
FEES: Valuation $
ISSUED BY
Y:Of[. 60
..,b;z
Permit Fee Paid $
Date
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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-- A ~T WNER
DATE
ADDRESS
TELEPHONE #