HomeMy WebLinkAbout0001441-Plumbing (2 water heater)CITY OF OSHKOSH NQ _01441
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~`~ ~ ~- l L~ ~ DSS/i.~/ZyL
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation 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
PLUMBING CONTRACTOR
BT ~WH
Lav _ Sh
- WC - FDr
- Sink LTub
Other
Disp
- DW
SP
-Eject
Volts Amps
Circuits
WSoft
DF
Ur
SS
- CBasin
-San. Sewer_
-Storm Sewer
Water
°3-
FEES: Valuation $_ ~V Permit Fee Paid $ ~ ~L Park Dedication $
ISSUED BY ~~ Date ~>, -2 ;~/,~_ Final/O.P.
In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE
DATE
ADDRESS
TELEPHONE #