HomeMy WebLinkAbout0027251-Plumbing (water heater)CITY OF OSHKOSH
n PERMIT -APPLICATION AND RECORD
® 27251
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ® SIGN ^ ZONING. FLOOD PLAIN HEIGHT
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ADDRESS ~ 9 ~ ~ ~ A-? ~ ~ PLAN NO.
OWNER Mi ~ ~'13Y1 C1~c~~~~~ ~['
DESIGNER
USE/NATURE OF WORK ~2(J Iy. ~-~ L~~1+
~,
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms. # Stories Height
Foundation Class of Const., Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ~ G~nmc~.r+ ~ 5 ~ 1
t'`J~
BT WH Disp WSoft CBasin
Lav Sh DW DF -San. Sewer
WC - FDr - SP Ur -Storm Sewer
-Sink LTub -Eject SS -Water
Other
FEES: Valuation $ ~ ~$•''~s Permit Fee Paid $ f D' ~'~ ~/ Park. Dedication $
ISSUED BY ~~ Date ~ ~ ~~~ ~ Final/O.P.
__
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
DATE
ADDRESS ~ TELEPHONE #