HomeMy WebLinkAbout0017183-Plumbing (water heater)~ CITY OF OSHKOSH N° 17183
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING F LOOD PLAIN HEIGHT
ADDRESS C~ PLAN NO.
OWNER - ~
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DESIGNER ^
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USE/NATUR ~'"~ I, ~
E 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 Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR -~ ~~~ ~~ „~
BT ~ WH Disp WSoft CBasin
Lav _ Sh DW I~, DF -San. Sewer
WC _ FDr SP ~~ Ur -Storm Sewer
-Sink LTub -Eject ', SS _ Water
Other
-~ d-+
FEES: Valuation $ Permit Fee Paid $ l ~ Park Dedication $
ISSUED BY ®Jf ~ ' Date --~ - ~_T9(~_ Final/O.P.
In the performance of this work agree to perfor all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWN R DATE
ADDRESS
TELEPHONE #