HomeMy WebLinkAbout0020870-Plumbing (water heater)CITY OF OSHKOSH N4 20870
n PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS °<< ;~~~ l,J-'~~?)^ PLAN NO.
OWNER C_ . /7`~/~.~//il/i
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft
# Rooms
# 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 Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ~i~v~~~ti(
~-,~
BT ~ WH Disp WSoft CBasin W~
Lav _ Sh DW _ DF -San. Sewer
WC FDr SP Ur
-Sink LTub Eject SS
Other
FEES: Valuation $~
ISSUED BY.
In perfori
SIGNATURE
ADDRESS-
-Storm Sewer
-Water
Permit Fee Paid $ ~~~ Park Dedication
Date ~ /~Z/~ Final/O.P.
work I agree to perform all work pursuant to rules governing the described construction.
AGENT/OWNER DATE
TELEPHONE #