HomeMy WebLinkAbout0020867-Plumbing (water heater)CITY OF OSHKOSH N°_ 20867
n PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS
PLAN NO
OWNER r~ l
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height .
Foundation Class of Const. Occupancy Permit
HEATING
Heat ^ A/C ^ Vent ^ Fuel/System
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles .
Heat Loss BTU'S
Volts Amps
Circuits
PLUMBING CONTRACTOR ~ ~~,~~/1 ~'
- BT ~ WH _ Disp WSoft _ CBasin ~~
- Lav _ Sh _ DW DF _ San. Sewer / -
WC _ FDr _ SP Ur -Storm Sewer
-Sink _ LTub _ Eject SS -Water
Other
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FEES: Valuation $ ~ Permit Fee Paid $ /ate Park Dedication $
ISSUED BY Date w ~~,Z=f~_ Final/O. P.
I of this work I agree to perform all work pursuant to rules governing the described constructi n.
SIGNATUR
AGENT/OWNER DA E
ADDRESS
TELEPHONE #