HomeMy WebLinkAbout0037978-Plumbing (water heater) CITY OF OSHKOSH
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NEI 37978
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC El PLBGir SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 7 3 7 ,f /
PLAN NO.
OWNER - ,
DESIGNER
/
USE /NATURE OF WORK / -al ,e 4" 6
f
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 El Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR , > / C ,..,
BT I WH _ Disp _ WSoft CBasin
Lay Sh DW DF San. Sewer
WC — FDr _ SP Ur Storm Sewer
Sink LTub Eject SS — Water
Other
FEES: Valuation $ .2--L1-0 a Permit Fee Paid $ '�? /6 Park Dedication $
ISSUED BY I'f Date a/ / Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE .sa.- ,P yt�{i -- a 44?,?
AGENT /OWNER DATE
ADDRESS �'.USV SeezA e) 9:40)..-/Fr
TELEPHONE #