HomeMy WebLinkAbout0035292-Plumbing (water heater)
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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35292
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ADDRESS
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK Y ILpj}. tffl
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Const.
Height
Occupancy Permit
Foundation
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 :Xl m rt\ Or'tS
_BT LWH _Disp
_Lav
_Sh
_OW
_SP
_ WSoft
_DF
_ CBasin
_ San. Sewer
~.
_Sink
Other
_ Eject
_SS
_ Storm Sewer
_ Water
_WC
_FOr
_ L Tub
_Ur
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FEES: Valuation $ Q j! . Permit Fee Paid $
ISSUED BY IJ]oJtJ k) c{) e OliLJ erN Date
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10. cJ) /
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51 ~ /B .
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
DATE
ADDRESS
TELEPHONE if
.