HomeMy WebLinkAbout0033299-Plumbing (water heater)f~~/
~ CITY OF OSHKOSH N° 33299
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS
OWNER
DESIGNER
USE/NATURE OF WORK ~~C1lQ,r.C. G~cJ"~2:~f/t_ a
BUILDING CONTRACTOR
Size
Foundation
# Stories Height .
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
Fixtures Switches Receptacles .
Volts Amps
Circuits
PLUMBING CONTRACTOR ~~~ ~~~ _ __
- 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 $ LO~d ~ ~d Permit Fee Paid $ ~~ ' ° ~ Park Dedication $
ISSUED BY ~~ Date ~-'` ? `~3 Final/O.P.
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~~ ~~ ~ fit---~
AGENT/OWNER DATE
ADDRESS
Sq. Ft
PLAN NO
# Rooms
TELEPHONE #