HomeMy WebLinkAbout0044250-Plumbing (rental water heater)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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N! 44250
TYPE: BLDG 0 HTG 0 ELEC 0 PLBG J2t( SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
/PD3 ~
L~M~
PLAN NO.
ADDRESS
DESIGNER
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USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH
/f~
_ Disp -L WSoft
_Lav
_Sh
_FOr
_ LTub
_OW
_SP
_ Eject
_OF
-:-- CBasin
_ San. Sewer
_ Storm Sewer
_ Water
c
_WC
_Ur
_Sink
Other
_SS
FEES: Valuation $
ISSUED BY
..soo. 0 (')
~
Permit Fee Paid $
Date
I
~C>~ ~ ~J
.y~7/7S-
( /
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 a~ &P;>/9f
, AGENT/OWNER ' DATE
ADDRESS
TELEPHONE #