HomeMy WebLinkAbout0035274-Plumbing (water heater)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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35274
TYPE: BLDG D HTG D ELEC D PLBG~ SIGN D ZONING
FLOOD PLAIN
HEIGHT
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ADDRESS
9L/SS
RoY/a lei
,
,fit) Yh ; J tDJ.-1
I A /30Jr~
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
ji -42/' tdH
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 SOl IIVI ~
_BT -AWH _Disp
_Lav
_Sh
_OW
_SP
_ WSoft
_OF
_ CBasin
c
_ San. Sewer
_WC
_FOr
_ L Tub
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
---,- SS
_ Water
FEES: Valuation $ 5'1/) . ,,1; Permit Fee Paid $
ISSUED BY A'JattiV Ca.ttU-./ dfJ Date
/
~;3
7 /3
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 #