HomeMy WebLinkAbout0010430-Plumbing (water heater) CITY OF OSHKOSH No 1
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG ;y,, SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 9 (A) y' PLAN NO.
OWNER _Se C 4 6
DESIGNER
USE /NATURE OF WORK ‘c- /1Ld,v1
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 Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR c c --2-i 0-
BT )WH Disp WSoft CBasin
Lav Sh DW OF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation c 33 /Pe� Permit Fee Paid Park Dedication
ISSUED BY Dates Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction. esto
SIGNATURE A 1
AGENT /OWNER DATE
ADDRESS
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