HomeMy WebLinkAbout0007111-Plumbing (water heater)CITY OF OSHKOSH N° 07111
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS
OWNER
PLAN NO.
DESIGNER
USE/NATURE OF WORK - /"~~/~(C ~ />'IP~/1
BUILDING COP
Size
Foundation
Sq. Ft
# Rooms
Height .
Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
# Stories
Class of Const.
- Heat Loss
Volts Amps
Circuits
PLUMBING CONTRACTOR _ ~~'~'1 Y!?4'yL~
BT ~ WH Disp _ WSoft CBasin
- Lav _ Sh _ DW DF -San. Sewer
- WC FDr SP Ur -Storm Sewer
-Sink LTub -Eject SS Water
Other
FEES: Valuation $ ~~~ Permit Fee Paid $ .~~'- Park Dedication $
ISSUED BY Date ~~~ Finat/O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~~"'~--
AGENT/OWNER DAT
ADDRESS
TELEPHONE #