HomeMy WebLinkAbout0025798-Plumbing (water heater)~ CITY OF OSHKOSH N°_ 25798
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ~ ~ ~ ~ L / ~ ~ PLAN NO.
OWNER
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
_ ,A
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 $ l6 • ~ ~ Park Dedication $
_
ISSUED BY ~ ~-z~ -~ Date ~ ~ ~G ~ / Final/O
P
.
.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
AGENT/OWNER
/~/~~/
DAT~
TELEPHONE #