HomeMy WebLinkAbout0028667-Plumbing (water heater) (46-) P CITY OF OSHKOSH N° 28667
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG 1,4 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 0 1 8 L43 i n O i\ e51—Qt— PLAN NO.
OWNER rr Or ,-k Q t 3v 1
DESIGNER
USE /NATURE OF WORK R o r I. t4) tf
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 500 rvi On S Phil i
BT CBasin
WH Disp WSoft
Lav Sh DW DF San. Sewer
_WC FDr SP Ur Storm Sewer
__Sink LTub Eject SS
Water
Other
FEES: Valuation 7 j 1. 4 19 Permit Fee Paid /0,00 Park Dedication
ISSUED BY t".1 Date 4 7 2 V77-
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /O'
DATE
ADDRESS
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