HomeMy WebLinkAbout0033332-Plumbing (water heater) CITY OF OSHKOSH N2 33332
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG k SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS ,7 O5 (N �1,02/7'J PLAN NO.
OWNER (I� /'(Lp tAC/
DESIGNER 7�-� �y �j� �L�
USE /NATURE OF WORK APP. 1 J��,c -C/ �-Y.�LC�-�/v
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 !J Q
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation ,c6 00 Permit Fee Paid o a Park Dedication
ISSUED BY Date `r-- Y3 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER( DATE
ADDRESS
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