HomeMy WebLinkAbout0007144-Plumbing (water heater)n P _CITY OF OSHKOSH N° 07144
ERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS _ -~'U ~ J~'~~~~^ PLAN NO.
OWNER l / ' ~~i ~' ~ v7 c-.( ~ i
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft. # Rooms # Stories
Class of Const.
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 ~.J . ~ /y1_Q~;
- 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 $ `~~ ~'~"--
Permit Fee Paid $ Park Dedication $
ISSUED BY Date l Final/O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGEN W ER DAT
ADDRESS
TELEPHONE #
Height .
Occupancy Permit