HomeMy WebLinkAbout0011659-Plumbing (water heater) CITY OF OSHKOSH No 11659
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG,SIGN ZONING FLOOD PLAIN HEIGHT
illP ADDRESS ,/n /SW PLAN NO.
OWNER f -1
DESIGNER
USE /NATURE OF WORK l'' Ze hG1/i 74
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 ��J 'O2' tJ'
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 v 1 P- mit Fee Paid 5 -641 Park Dedication
ISSUED BY s> Date ,/,,2 -/2 "Alf Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATU EL��= 3� i11
AGENT /OWNER DATE
ADDRESS
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