HomeMy WebLinkAbout0016313-Plumbing (water heater) C4-•"), CITY OF OSHKOSH N° 16313
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG J, SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /C li(// 40/1 PLAN NO.
OWNER L-1/ Ax-
DESIGNER
USE /NATURE OF WORK /leza C CC
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 _sSee'71'7 /W4C P
BT t WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
9 os //5
FEES: Valuation 3;70 Permit Fee Paid C Park Dedication
ISSUED BY ��L Date icr' Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE l•
AGENT /0 NER DATE
ADDRESS
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