HomeMy WebLinkAbout0016272-Plumbing (water heater)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
16272
TYPE:
BLDG D HTG D ELEC D PLBG ~ SIGN D ZONING
FLOOD PLAIN
HEIGHT
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,
OWNER
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~S /# r/Yr"/ Ca../
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
I
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 <_ <)a-~ /14 Ms::.
_BT -LWH _Disp
_FDr
_DW
_SP
_ WSoft
_DF
_ CBasin
_Lav
_Sh
_ San. Sewer
_WC
_Ur
_ Storm Sewer
_Sink
_ L Tub
_ Eject
_SS
_ Water
Other
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5"7 - CJ'O /' CT1 vI"
FEES, Valuation ~ ~permlt Fee Paid $ /0-
ISSUED BY <-4 Date // -~-~
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR::- \ =:s ~ ~"
DATE
ADDRESS
TELEPHONE #