HomeMy WebLinkAbout002783 - PLumbing (water heater) CITY OF OSHKOSH No 02783
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /77/'( /Z 77 Z4:- – �C,1, PLAN NO.
OWNER � � __- 141`> L.
DESIGNER
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USE/NATURE OF WORK d f-' c C 4 ,: 6 /' c rf .
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—T - , , - . .,'!. L3
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 $ -.1 %/7 Permit Fee Paid $ .) Park Dedication $
ISSUED BY j L L �' 7 Date ///% Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE=-� ' 1 I
AGENT/OWNER . DATE
ADDRESS
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