HomeMy WebLinkAbout0033843-Plumbing (water heater)f~~/
/~ CITY OF OSHKOSH N° 33843
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRE~
OWNER
USE/NATURE OF WORK
(~
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles .
PLUMBING CONTRACTOR i ,~~ty
BT ~ WH _ Disp
Lav _ Sh DW
- WC FDr SP
-Sink LTub Eject
Other
Heat Loss BTU'S
Volts Amps
Circuits
r
WSoft
DF
Ur
SS
CBasin
-San. Sewer_
-Storm Sewer
Water
FEES: Valuation $ -3~ S ~ y Permit Fee Paid $ ~~ ' ° ~ Park Dedication $
ISSUED BY ~ Date ~ 3 3 Final/O.P.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS ~' Q ~~O `' `z~ ~ ~Z-~ a~7y~~ rG.c.~-•
-~" ~~iz--~~
DATE
~3Q ~~ og
TELEPHONE M
PL~IPG PE
~iDDRESS ~ ZZ
ORNER ~
NATORL' of voR~
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BZlI't APPLICATION
DATE ~- -' PL~T# ~~~'~-~
PLD~EB G ~/
1fE[,T REi.A4 RF'P~TR 2NTERTQR
i~
~1A R Bath Su Pu
Lavato E'ector
t Water Softener
CTION DATE Rit. Sia1c Drinkin Fountain
Siak other
i~/,~,/ ~~~p~p~ ter Slo Sink
f' 1/ G ~ se a
F oor Drain Local Waste
Laundry Tu Site Drain
Dis osal Laundr Stand i e
Dishwasher Catch Basin
+ie* p;eta;.,., ..n t.. on th reverse side