HomeMy WebLinkAbout0000200-Plumbing (water heaters)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N~
00200
TYPE:
BLDG D HTG D ELEC D PLBG~ SIGN D ZONING
FLOOD PLAIN
HEIGHT
USE/NATURE OF WORK
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PLAN NO.
ADDRESS
OWNER
DESIGNER
,
/YlJ'~4
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 Servo
New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
L~ jrlA- ,if
_BT
~WH
_Sink
Other
_FOr
_ L Tub
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
_Lav
_Sh
_San. Sewer
_WC
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water
FEES: va'ua'ionX ~ -- ,
ISSUED BY ~ "7r/
,
Permit Fee Paid $
Date
/'
~o-p .r
;;4~
f ."
Park Dedication $
Final/O.P.
In the performance of this W~k I agree t
rsuant to rules governing the described construction.
SIGNATURE
DATE
ADDRESS
TELEPHONE #