HomeMy WebLinkAbout0026348-Plumbing (water heater)CITY OF OSHKOSH N °_ 26348
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PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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AnnRFSS i S / ^.2�"` -- _,e � �2' PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System
w 14
# Rooms # Stories
Class of Const.
Heat Loss
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
BT % WH Disp
Lav Sh DW
_WC FDr SP
Sink LTub Eject
Other
Volts
WSoft
DF
Ur
SS
Circuits
Height _
Occupancy Permit
BTU'S
Amps
CBasin
San. Sewer_
Storm Sewer
Water
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE
/ GENT /OWNER DATE
ADDRESS / / --J-r 237— I 2
TELEPHONE #
FEES: Valuation $
S� O
Permit Fee Paid $
Park Dedication $
ISSUED BY
Cam! f�
Date
- a S� �1�
Final /O.P. 1
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE
/ GENT /OWNER DATE
ADDRESS / / --J-r 237— I 2
TELEPHONE #