HomeMy WebLinkAbout0018259-Plumbing (water heater)_CITY OF OSHKOSH N° 18259
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^
----------- HTG ^ ELEC ^ PLBG~
------------------ SIGN ^ ZONING
------------ FLOOD PLAIN HEIGHT
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ADDRESS 1 6~r.z~ ~ Jj~~
i-~S~~i~ PLAN NO.
OWNER
DES
USE/NATURE OF WORK
BUILDING COP
Size
Foundation
Sq. Ft
# 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
o'D as
FEES: Valuation $ Permit Fee Paid $ ~~ Park Dedication $
ISSUED BY Date ~~~ -~U Final/O.P.
In the performance of this work I agree to perform all work pursuan:o rules governing the described construction.
SIGNATURE 6~'~'`^r..~ /~~^zG~ t3 ~D
AGENTlOWNEfl DATE
ADDRESS
TELEPHONE #