HomeMy WebLinkAbout0032119-Plumbing (water heater)CITY OF OSHKOSH
n PERMIT -APPLICATION AND RECORD
~~/
N~ 32119
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS l3 ~"// , PLAN NO.
OWNER `~- v
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 Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
/
-BT ~
WH
Lav _ Sh
- WC FDr
Sink LTub
Other
- Disp
- DW
- SP
-Eject
- WSoft
DF
Ur
SS
CBasin
-San. Sewer_
-Storm Sewer
-Water
FEES: Valuation $ ~~ ~ ~~' d Permit Fee Paid $ ~® ° ~ Park Dedication $
ISSUED BY ~ Date ~ ~ -~ ° Z Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
DATE
ADDRESS
TELEPHONE #