HomeMy WebLinkAbout0037719-Plumbing (water heater) CITY OF OSHKOSH N° 37719
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG yi SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /9cYJ 8)Cida(d PLAN NO.
OWNER CA Th ftzit`
DESIGNER
USE /NATURE OF WORK .A.Ci.,r 40/'
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 i .077.4/
_BT L WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation J yG GG Permit Fee Paid /6 a p
Park Dedication
ISSUED BY Date 1:11=-99'
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/
DATE
ADDRESS
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