HomeMy WebLinkAbout029635 - Plumbing (replace water heater) CITY OF OSHKOSH - 29635
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG% SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /901 /77-- t)_,e—tom—.,- PLAN NO.
OWNER /1/ 2-el L-17:---z-/Z-
DESIGNER
USE/NATURE OF WORK C..-Li H
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 /la' + a„... .„___<...,_,_x_s-,„_
-BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
-WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
/
FEES: Valuation $ Permit Fee Paid $ Park Dedication $
ISSUED BY Date 77 Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE / 7 —p'- 72
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i GENT/OWNER DATE
L( / J
ADDRESS I 0 P---1--(cx-c.. c2 i?
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