HomeMy WebLinkAbout0015693-Plumbing (water heater)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
15693
TYPE:
BLDG D HTG D ELEC D PLBG~ SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
1;2 75 #ay-~-" c--;rC
'/JOUj !/~ /1,,-17-
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
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 LWH _Disp
_Lav _Sh _DW
_ WSoft
_ CBasin
_DF
_ San. Sewer
_WC
_FDr
_ L Tub
_SP
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
FEES: Valuation $ 7"" 25
ISSUED BY ~ P"co/
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuan: to rules governing the described construction.
SIGNATURE ~~~~~AGENT/OWNER
/t1~~n
If' DATE
ADDRESS
TELEPHONE #