HomeMy WebLinkAbout0038715-Plumbing (water heater)
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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38715
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DESIGNER
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USE/NATURE OF WORK
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
7-~.
PLUMBING CONTRACTOR
_BT LWH
_ Disp _ WSoft
_ GBasin
~
_WC
_FDr
_ LTub
_Ur
_ San. Sewer
_ Storm Sewer
_Lav
_Sh
_DW
_SP
_DF
_Sink
Other
_ Eject
_SS
_ Water
FEES: Valuation $
ISSUED BY
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P . F P'd $ ~. t) b (5JV'. P k D d' . $
ermlt ee al - . ar e Icatlon
Date ..:;.~~ 614/Q'l AnaI/O.P
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In. the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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K-JJ
AGENT/OWNER
..3- 30- 9'/
DATE
ADDRESS
TELEPHONE #