HomeMy WebLinkAbout0042609-Plumbing (water heater)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N~
WI
42609
TYPE: BLDG 0 HTG 0 ELEC 0 PLBG [) SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS 5<0 l
OWNER Q~,,-)C 1<...
6 \O.f\.~
b~\'S._
PLAN NO.
DESIGNER
USE/NATURE OF WORK \(:\\2- -4- y-Ce\ \ \;0\-\.
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Class of Const..
Height
Occupancy Permit
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New 0 Change 0 Temp 0
Type
Volts _ Amps_
Circuits
Fixtures
Switches
Receptacles
PLUMBING CONTRACTOR ~. <Lc~f-D<'^'
_BT ~H _Disp
_WC
_Sh
_FOr
_ L Tub
_OW
_SP
_ WSoft
_OF
_ CBasin
_Ur
_ San. Sewer
_ Storm Sewer
_Lav
_Sink
Other
_ Eject
_SS
_ Water
ISSUED BY
;l
/
r/
FEES: Valuation $
Permit Fee Paid $
Date
\dl?
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 rtL. h"~..E1~
tI . AGENT/OWNER
ADDRESS \~ ')5\0 ~".L{~ \se.. LY\.
\\ \\D\C\L~
DATE
0(77 - \qBl.
TELEPHONE #