HomeMy WebLinkAbout0033473-Plumbing (water heater) �,- �// �
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�'il CITY OF OSHKOSH N°- 33473
� n PERMIT - APPLICATION AND RECORD
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TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS r �°� � � PLAN NO.
OWNER � �
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 ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR '
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR , `�
—BT f WH —Disp —WSoft —CBasin �
_Lav —Sh _DW —DF —San. Sewer
—WC —FDr —SP —Ur —Storm Sewer
—Sink —LTub —Eject —SS —Water
Other
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FEES: Valuation $ �/�- � d Permit Fee Paid $ � Park Dedication $
ISSUED BY � Date ��5~� �-� Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ,
SIGNATURE
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A ENT/OWNER DATE
ADDRESS � Z ' �j!1�����?o o� O�
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