HomeMy WebLinkAbout0041491-Plumbing (water heater) ��� �`
CITY OF OSHKOSH N°- � 41491
� PERMIT - APPLI ATION AND RECORD
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TYPE: B�DG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS �sO� � PLAN NO. '
OWNER �-�ry� ���
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR ,
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ FueVSystem Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR �`
_BT �WH _Disp — So —CBasin G�--
_Lav _Sh _DW —DF —San. Sewer
_WC _FDr _SP —Ur —Storm Sewer
—Sink _LTub —Eject —SS —Water
Other
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FEES: Valuation $ '�� T • �d Permit Fee Paid $ � d Park Dedication $
ISSUED BY ��-��— Date��/���� Final/O.P.
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
_ AG T/ NER DATE
ADDRESS TELEPHONE ak