HomeMy WebLinkAbout0032414-Plumbing (water heater)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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32414
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ADDRESS ;rc ~,,6 - PLAN NO.
OWNER
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DESIGNER
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USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Const.
Height
Occupancy Permit
Foundation
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
_BT -I-WH
{~4~
_ Disp _ WSoft
~
_ CBasin
_Lav
_Sh
_DW
_SP
_DF
_ San. Sewer
_WC
_FDr
_Ur
_ Storm Sewer
_Sink
Other
_ L Tub
_ Eject
_SS
_ Water
FEES: Valuation $
3S-D.06
Permit Fee Paid $
Date
/
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/ //S-/:7 5
I /.
Park Dedication $
Final/O.P.
ISSUED BY
4P
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE--d;. 111 Il~
AGENT/OWNER
ADDRESS I C( ( \( 0..i.ht \1 ." ." Ail.
J- I )-'1J
,
DATE
J 3 "3 -6 ) II 7
TELEPHONE #