HomeMy WebLinkAbout0042073-Plumbing (water heater)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N~-42073
OWNER
DESIGNER
(~ ff#
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo New 0 Change 0 Temp 0
Type
Volts
Amps_
Fixtures
Switches
Receptacles
Circuits
_BT
-+- WH
_Sh
_FDr
_LTub
_DF
_ CBasin
_ San. Sewer
_ Storm Sewer
~
PLUMBING CONTRACTOR
_Lav
_WC
_SP
_Ur
_Sink
Other
_ Eject
_SS
_ Water
FEES: Valuation $ CfO () , 0 0
ISSUED BY ~
/
Permit Fee Paid $ / 6.. (j d /
Date ~ <:r ~x::::
/' /"
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
/jI r/lldJu~ rfr-~ . U2 t<
f A~I NER
1010-11
DATE
ADDRESS
TELEPHONE #