HomeMy WebLinkAbout0031653-Plumbing (water heater) � CITY OF OSHKOSH N°_ 31653
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS � � �g / v'
PLAN NO.
OWNER �'�'" �
DESIGNER
USE/NATURE OF WORK
BUILDING CON�'RACTOR
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 �
—BT �WH —Disp —WSoft CBasin �
—Lav _Sh —DW DF San. Sewer
—WC —FDr SP Ur Storm Sewer '
—Sink —LTub Eject —SS —Water
Other
FEES: Valuation $ ��� • � D Permit Fee Paid $ �� ' � d v Park Dedication $
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ISSUED BY � Date � �3 � � Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE � � �� 16 ��
AGENT/OWNEF DATE -
ADDRESS �326 f o���[zS � �� —�l'7 �l�'
TELEPHONE# �
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