HomeMy WebLinkAbout0010727-Plumbing (water heater)CITY OF OSHKOSH No 10727
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~.. SIGN ^ ZONING FLOOD PLAIN HEIGHT
--------------------------------------------------------------------
ADDRESS
OWNER
DESIGNER
USE/NATURE OF WORK
PLAN NO.
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 CONTRACTO
R -~~ /P~ _i
/
BT ._L WH Disp WSoft CBasin
- Lav - Sh DW DF _ San. Sewer
WC FDr _ SP Ur -Storm Sewer
-Sink LTub -Eject SS -Water
Other
FEES: Valuation $ a Permit Fee Paid $, ~ Park Dedication $
ISSUED BY ~ Date Final/O.P.
In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction.
C~' ,
SIGNATUR '~---`
AGENT/OWNER DATE
ADDRESS
TELEPHONE k