HomeMy WebLinkAbout0016349-Plumbing (water heater)
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CITY OF OSHKOSH N2
PERMIT -APPLICATION AND RECORD
16349
TYPE:
BLDG D HTG D ELEC D PLBG p( SIGN D ZONING
FLOOD PLAIN
HEIGHT
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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 NC 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 J;;~ ~1.
_ BT --L WH _ Disp
_ WSoft
_ CBasin
_Lav
_Sh
_FDr
_ L Tub
_DW
_SP
_DF
_ San. Sewer
_WC
_Ur
_ Storm Sewer
_Sink
_ Eject
_SS
_ Water
Other
FEES: Valuation $ 3/3-
.
ISSUED BY ~.A----~
J
Permit Fee Paid $ 10 - ../1
Date //-~~4
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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AGENT/OWNER
DATE
ADDRESS
TELEPHONE #