HomeMy WebLinkAbout0004658-Plumbing (water heater)CITY OF OSHKOSH No
PERMIT -APPLICATION AND RECORD
04658
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG (,~C SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS_ 117~~ Ol~/~d PLAN NO.
OWNER ~c i„ /o~ ~ / ~ .,,o_ /., _ _
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
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
- BT _L WH
- Lav - Sh
- WC - FDr
-Sink - LTub
Other
# Rooms # Stories Height .
Class of Const. Occupancy Permit
- Disp
- DW
- SP
-Eject
- WSoft
- DF
- Ur
- SS
- CBasin
-San. Sewer_
-Storm Sewer
- Water
FEES: Valuation $ f 0571 ~~ Permit Fee Paid $ ~ Park Dedication $_
ISSUED BY Date ~l Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~./ (s">'t'l/ ~ ] P 3 d 7~ ,Q ~ ~ ~ ~ _ o~ C _
A T/OWNER
DATE
ADDRESS
TELEPHONE #