HomeMy WebLinkAbout0040755-Plumbing (water heater)~~/
CITY OF OSHKOSH N~ 40755
PERMIT -APPLICATION .AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ ~~-~~l tLgL11~1~A1~.r PLAN NO.
i-, n
OWNER
DESIGNER
USE/NATURE OF WORK •~ ~ ~n-~Q~' ~4Q„~4
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 Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR s~~~ CmS
BT ~ WH _ Disp - WSoft - CBasin G^~~
Lav _ Sh _ DW _ DF -San. Sewer
WC _ FDr _ SP - Ur -Storm Sewer
-Sink - LTub -Eject - SS -Water
Other
~~ ~~~~
FEES: Valuation $_L~V ~ C~ P mit Fee Paid $ ~~ ~ ~ ark Dedication $
ISSUED BY ~~~~ Date Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ ~ ~~
DATE
ADDRESS
TELEPHONE N