HomeMy WebLinkAbout0016295-Plumbing (water heater) CITY OF OSHKOSH N9 16295
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG X SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 7l2 11 7 S'(jl.n PLAN NO.
OWNER le /a/ /2? f
DESIGNER
USE /NATURE OF WORK C G 0 4 e
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 ✓Yh d7'7 C/)4
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 S,< 6
Permit Fee Paid 4 7‘'7 Park Dedication
ISSUED BY Date cr Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
C
SIGNATURE] -C"
AT /OWNER DATE
ADDRESS
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