HomeMy WebLinkAbout0003935-Plumbing (water heater) CITY OF OSHKOSH N2 03935
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG Ge, SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /(0. 0. 3 (2J11 0'V PLAN NO.
OWNER 4 e-
DESIGNER
USE /NATURE OF WORK GVn- l&eti 4
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat NC Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR cl�y(i/i, -)44
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
deb. 0
FEES: Valuation �3 P rmit Fee Paid Park Dedication
ISSUED BY Date Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE j 1 41--AAA, Vc _C� -rt.r
AGENT /OWNER DATE
ADDRESS
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