HomeMy WebLinkAbout0025241-Plumbing (water heater)_CITY OF OSHKOSH N° 25241
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ 3 7.~ rvyt.ca.c...~. PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK_
C'r
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
- BT ~ WH _ Disp
-Lav -Sh -DW
WC FDr SP
-Sink LTub Eject
Other
Heat Loss
BTU'S
Volts Amps
Circuits
~•
WSoft - CBasin
DF _ San. Sewer
Ur _ Storm Sewer
- SS -Water
FEES: Valuation $ ~'~~ ~ • ~~ eermit Fee Paid $ ~~ ~ d d Park Dedication $
ISSUED BY ~ Date ~ -`~ ~~ Final/O
P
.
.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
1
DATE
TELEPHONE #