HomeMy WebLinkAbout0016285-Plumbing (water heater)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
16285
TYPE:
BLDG D HTG D ELEC D PLBG;gl SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
f'03 ~/C~iJ~.
6C>c7YC.?- A,iS ~i It
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
/L'/lhc7e
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 Serv.
New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR ......5(;.~ "r?~
_BT LWH _Disp
_FOr
_OW
_SP
_ WSoft
_OF
_ CBasin
_Lav
_Sh
_ San. Sewer
_WC
_Ur
_ Storm Sewer
_Sink
Other
_ L Tub
_ Eject
_SS
_ Water
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FEES: Valuation $ . . .
ISSUED BY ~~~'{~
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/0' C/o ,,/1'
Permit Fee Paid $ / l
Date / / -,.,?- - .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.
SIGNA~~ ::J ~
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AGENT/OWNER
DATE
ADDRESS
TELEPHONE #