HomeMy WebLinkAbout0008689-Plumbing (water heater) /�'� CITY OF OSHKOSH N°_ 08689
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG J SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / / 3 1 /0/ ) e - t-- .., PLAN NO.
OWNER - 4,
i iL . : ' -
DESIGNER
USE /NATURE OF WORK 'ow-.
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 4 4.4
BT _L 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 $ Per ' e Paid $ Park Dedication $
ISSUED BY Date - i/de 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 ..
AA 1 .r.....--- == Q efir
AGENT/OWNER A
\ D AT
ADDRESS
TELEPHONE #