HomeMy WebLinkAbout0015361-Plumbing (water heater) CITY OF OSHKOSH N2 15361
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 4F cf 5 r" 1 C 0 L i 'T' PLAN NO.
OWNER 1 L k v N PA 3 L
DESIGNER
USE /NATURE OF WORK 6,04/4.-- La. /r-"---
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
BT i WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation ,..36 q /6) 4 Permit Fee Paid Park Dedication
ISSUED BY r a 0,� Date Cf 3/ 1 :3 9 Final /O.P.
In the performance of irk I agre to pe all work pursuant to rules governing the described construction.
SIGNATURE i
AGENT/ WNER DATE
ADDRESS
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