HomeMy WebLinkAbout0011776-Plumbing (water heater)~ CITY OF OSHKOSH No 11776
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS_
OWNER_
DESIGNER
USE/NATUI
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft
PLAN NO
# Rooms
Height .
Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches .Receptacles
# Stories
Class of Const.
- Heat Loss
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 $ ermit Fee Paid $ ~?' Park Dedication $
ISSUED BY~~1a~"(j- Date Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
DATE
TELEPHONE #