HomeMy WebLinkAbout0013359-Plumbing (water heater)CITY OF OSHKOSH No 13359
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS
OWNER
PLAN NO
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
Fixtures Switches Receptacles
Volts Amps
Circuits
PLUMBING CONTRACTOR ~ ~-r
~ Y~1~2a~
- BT ~ WH Disp WSoft CBasin
Lav Sh DW DF -San. Sewer
WC _ FDr _ SP Ur Storm Sewer
-Sink LTub Eject - SS -Water
Other
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FEES: Valuation $ : '~~ rmit Fee Paid $~~~ Park Dedication $
ISSUED BY a Date ~ ~7` `' ~ Final/O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
~ ,r
SIGNATURE ~/ ~ 3--E''
AGENT/OWNER
DATE
ADDRESS ~
TELEPHONE #