HomeMy WebLinkAbout0010431-Plumbing (water heater) CITY OF OSHKOSH N2 10431
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGA SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 a".70 0,4/ 4c/?_Z4 PLAN NO.
OWNER
DESIGNER J
USE /NATURE OF WORK______________
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 --P
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other Grg FEES: Valuation Permit Fee Paid Deica
ISSUED BY Date
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
A
SIGNATURE M f
AGENT /OWNER DAT
ADDRESS
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