HomeMy WebLinkAbout0010215-Plumbing (water heater) 41) CITY OF OSHKOSH N2 10215
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG Jg, SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS l, 5��/ c� PLAN NO.
OWNER G. "7-K,/,-
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DESIGNER
USE /NATURE OF WORK Gt�c2 C.� � � �!r '/7' l
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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( / /P`
- BT __/ WH Disp WSoft CBasin
- Lav Sh DW DF San. Sewer
- WC FDr SP Ur Storm Sewer
— Sink _ LTub Eject SS Water
Other
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FEES: Valuation $`Y5 Ob � Permit Fee Paid $ Park Dedication $
ISSUED BY �- Date �� -.7/: Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE p`-- Si
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
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