HomeMy WebLinkAbout0016333-Plumbing (water heater)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
16333
TYPE:
BLOG D HTG D ELEC D PLBG ~ SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
9 If &s/n~v~
iT L~.q/fh.
J
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
rc;o4c-e
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 <. sQ.,~ ~./';i"'7-Pl4- ('
_BT ~WH _Disp
_Lav
_Sh
_OW
_SP
_ WSoft
_OF
_ CBasin
_WC
_FOr
_Ur
_ San. Sewer
_ Storm Sewer
_Sink
Other
_ L Tub
_ Eject
_SS
_ Water
/
"7 Q"O P"1' ,I"
FEES: Valuation ~: Peem;' Fee Pa;d $ /0 ~
ISSUED BY "Crz;ry/ Date /1- c?- -p
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
c-
SIGNATURE :/..._
.$
,
~~
AGENTJOWNER-"
DATE
ADDRESS
TELEPHONE #