HomeMy WebLinkAbout0006808-Plumbing (water heater) /� CITY OF OSHKOSN N° 06808
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS �.,�—���/,�,r1�(L/�� �f PLAN NO.
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OWNER �j- � � ��� //'1
DESIGNER
USE/NATURE OF WORK �.C//��° �'�/'W��E�
BUILDING CONI"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 _�Tub _Eject _SS _Water
Other
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FEES: Valuation $ Permit Fee Paid $ �� Park Dedication $
ISSUED BY Date��/�� 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 �—
A NT/ NER DATE -
ADDRESS
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