HomeMy WebLinkAbout0011034-Plumbing (water heater)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
11034
TYPE:
BLDG D HTG D ELEC D PLBG ~IGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
~z=
Z!
C<:-0
PLAN NO.
ADDRESS
DESIGNER
r~~c~
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
.# Stories
Class of Const
Height
Occupancy Permit
Foundation
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
.BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR ~~
_ BT I-- WH - Disp
_Lav _Sh _OW
_WC
_FOr
_ LTub
_SP
_Ur
_ CBasin
_ San. Sewer
_ Storm Sewer
_ WSoft
_OF
_Sink
Other
_ Eject
_SS
_ Water
~
-:L~'V/
Permit Fee Paid $
Date /~- ,?j---Rtf
Park Dedication $
Final/O.P.
In the performance
all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #