HomeMy WebLinkAbout0038569-Plumbing (water heater) y��� �
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N° 38569 E
CITY OF OSHKOSH s
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`' PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS J �'Z � " ��w PLAN NO.
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OWNER �
DESIGNER
USE/NATURE OF WORK
BUILDING CON7RACTOR
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 O
—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 $ '��/� '�� Permit Fee Paid $ a - � � Park Dedication $
ISSUED BY v Date 3 � � / � Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �✓��� �LY �-C,��`—' .�`Z�- " I [
AGENT/OWNER DATE
ADDRESS 3!j � �F'C.�J ���1� j �,j -,3 2��
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