HomeMy WebLinkAbout0015017-Plumbing (water heater)~, CITY OF OSHKOSH N° .15017
~-' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS
OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
# 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
BT ~ WH Disp
Lav Sh DW
WC FDr SP
-Sink LTub Eject
Other
WSoft CBasin
DF -San. Sewer
Ur Storm Sewer
SS Water
~ c~s l0 ~
FEES: Valuation $ Permit Fee Paid $ Park Dedication $
ISSUED BY Date ~ / / -~/ Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
DATE
Sq. Ft
PLAN NO.
# Rooms
ADDRESS '
TELEPHONE #