HomeMy WebLinkAbout0041435-Plumbing (water heater)~`~.~
CITY OF OSHKOSH N~ 41435
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS PLAN NO.
OWNER ~~ Q x'tfl('M ~ 4 r~ O Q
DESIGNER
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USE/NATURE OF WORK `1 lQ_~C.1 .
~OQ r
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 ~ rY11n(1L S1(1.~_
- BT ~ WH _ Disp _ WSoft - CBasin ~i
_ Lav _ Sh _ DW _ DF - San. Sewer
- WC _ FDr ._ SP _ Ur _ Storm Sewer
-Sink _ LTub _ Eject _ SS _ Water
Other
FEES: Valuation $ 35b•vU Permit Fee Paid $ `~ -Park Dedication $
ISSUED BY ~ Date ~ ~ Final/O.P.
In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
ADDRESS
DATE
TELEPHONE ~