HomeMy WebLinkAbout0035288-Plumbing (water heater)
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
VI/
35288
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N2
TYPE: BLDG D HTG D ELEC D PLBG):j SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
ICJotJ (yatl ~
7tJ rn.t ~ rn ck inn t .~
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK if 1. pfl.
cD+-i
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
PLUMBING CONTRACTOR?o_ WI nl! ,() fItS
_BT )[WH _Disp
_Lav
_Sh
_DW
_SP
_ WSoft
_DF
_ CBasin
_San. Sewer
_ Storm Sewer
_ Water
~
_WC
_FDr
_ L Tub
_Ur
_Sink
Other
_ Eject
_SS
FEES: Valuation $ :38"1)..0-0 Permit Fee Paid $
ISSUED BY tfJ() /1-1~) fLJ ltl)~ t;N Date
/
Jt). iJ-o /
-;-?/)- 73
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 ~ , AA=:~S
DATE
ADDRESS
TELEPHONE #
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