HomeMy WebLinkAbout0036136-Plumbing (water heater)~l/
/~ CITY OF OSHKOSH N°- 36136
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS -~~~0~ - - - - - - - - - - - -cinti tin- - - - - - - - - - -
OWNER
DESIGNE
s
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft. # Rooms # Stories Height .
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
/ B
PLUMBING CONTRACTOR ~ .~-~ ~~ ~ J ~`'~ ~ !~/ ~2
BT ~ WH _ Disp WSoft
Lav _ Sh _ DW _ DF
WC FDr _ SP Ur
Sink LTub -Eject - SS
Other
- CBasin
-San. Sewer_
-Storm Sewer
Water
FEES: Valuation $ °29~• o O Permit Fee Paid $ f ~ ' U o Park Dedication $
ISSUED BY ~ Date ~ 'Z ~ ~~ Fi
l/O
P
na
.
.
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS -'
a
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9~ ~~ ~~
DATE
7~0 - o~o~
TELEPHONE #