HomeMy WebLinkAbout0030263-Plumbing (water heater) � CITY OF OSHKOSH N°_ 30263
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS � 7 � /l� ,
PLAN NO.
OWNER �
DESIGNER �
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USE/NATURE OF WORK �
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BUILDING CONTRACTOR
E
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 � G�'� " r
—BT �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 $ 3�� • � �' Permit Fee Paid $ �� ' ° � Park Dedication $
ISSUED BY � Date � l� ��Z Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE�`� \aU l����� ��I���
AGE NER DATE
ADDRESS ��1� '�`a �� �JI ���
TELEPHONE# �