HomeMy WebLinkAbout0025184-Plumbing (water heater) CITY OF OSHKOSH N° 25184
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG Df SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS ifo 3 if 1.0h11 San Or; ✓P PLAN NO.
OWNER Donn i S da ley
DESIGNER
USE /NATURE OF WORK -aG c 14
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 m. r Pi ill c 0 h p y, 'Int.
BT _X_ WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation 811 S 8 Permit Fee Paid /0. aU Park Dedication
ISSUED BY e^.3 Date 6 9/ 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
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