HomeMy WebLinkAbout0013601-Plumbing (water heater) CITY OF OSHKOSH No 13601
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS /91/ _3 /11( e • 4/j, PLAN NO.
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OWNER
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DESIGNER
USE /NATURE OF WORK (A.M 4, _ / „oat/C..— )— 4 c e
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 //(.C%-■--
- BT 4 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 $ ` j S0 Permit Fee Paid $ < a Park Dedication $
ISSUED BY
1Date /-
/ ■° Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE (? Ad
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #