HomeMy WebLinkAbout0013353-Plumbing (water heater) CITY OF OSHKOSH N9 13353
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGX SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /ed 8 Lam is PLAN NO.
OWNER 0s-4 l ....2' //z7 e=
DESIGNER
USE /NATURE OF WORK C.-4./q1 4
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 kz�_
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 l Permit Fee Paid 0 Park Dedication
'�1/� ISSUED BY z L` Date Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE _--.0.-
AGENT /OWNER DATE
ADDRESS
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