HomeMy WebLinkAbout0025689-Plumbing (water heater)/`'~ CITY OF OSHKOSH N° 25689
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG [~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS_ ~ 01 ~9 ~ /~~r C(rt,/1/~.en r~ l PLAN NO.
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OWNER Vp n.,n~M ~,~r- an ~~
DESIGNER
USE/NATURE OF WORK 1?~-~-P-is-i o /.c~n ~p ~ ,~/ ~~'a~
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 CONTRACTO~/R
-BT ~WH
- Lav - Sh
WC FDr
-Sink - LTub
Other
- Disp WSoft - CBasin
DW DF -San. Sewer_
SP - Ur -Storm Sewer
-Eject SS -Water
W
FEES: Valuation $-`37 d • `~ S `Permit Fee Paid $ ~y - ~ ~ Park Dedication $
ISSUED BY_ ~'J ~~~-~~ Date /
~ ~ .- ~o ~ 9~ _ Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE
DATE
ADDRESS
TELEPHONE #