HomeMy WebLinkAbout0034454-Plumbing (water heater)y~~
~ CITY OF OSHKOSH N° 34454
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS _ C 3 ~ 5 eh SL
OWNER. (~,~i~.Ln T~ hi
PLAN NO.
DESIGNER
USE/NATURE OF WORK ~~QGC, It) N - ~ /
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
Fixtures Switches Receptacles
Volts Amps
- Circuits
PLUMBING CONTRACTOR COCCI ~' V ~[ r.~Gl
- BT ~ WH - Disp - WSoft - CBasin ~_
- Lav - Sh _ DW - DF -San. Sewer
- WC - FDr - SP _ Ur -Storm Sewer
-Sink - LTub _. Eject _. SS -Water
Other
FEES: Valuation $ ~~ • Permit Fee Paid $ l~ . ~ Park Dedication $
ISSUED BY --f7 Date (9~2 y~ 9
3
-. Final/O.P.
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
ADDRESS
.~
DATE
TELEPHONE #