HomeMy WebLinkAbout0038217-Plumbing (water heater)O CITY OF OSHKOSH N°- 3 2~~
~' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~(j' SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS /~ ~ ~CJ K /~a~~~(~~ PLAN NO.
OWNER IIU~in~ / l/f ~ ~ ~ rr1~'
DESIGNE
USE/NATURE OF WORK_ h n ~~~~7~-,~L~~~,>
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
# 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 Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ~. l~G~~rYt//iJ
- BT ~ WH - Disp
- Lav - Sh - DW
- WC - FDr - SP
.- Sink - LTub -Eject
Other
- WSoft
- DF
- Ur
- SS
-. CBasin
-San. Sewer_
-Storm Sewer
- Water
FEES: Valuation $ ~~ `'O
Permit Fee Paid $ ~ !~ • Park Dedication
ISSUED BY Date~y Final/O.P.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
DAT
TELEPHONE ~