HomeMy WebLinkAbout0015723-Plumbing (water heater)_CITY OF OSHKOSH N~ .15723
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~~~,~ ~ ~ /// /~-P PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Height .
Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR _~
BT ~WH
Lav _ Sh
WC FDr
Sink LTub
Other
# Stories
Class of Const.
- Heat Loss
Volts Amps
Circuits
Disp
DW
SP
-Eject
WSoft
DF
Ur
SS
CBasin
-San. Sewer_
-Storm Sewer
-Water
'7~ oti / ~v
FEES: Valuation $~_~~ I Permit Fee Paid $ `~ Park Dedication $
ISSUED BY ®~' ~-~"0711~ Date~~ -~ ~ Final/O.P.
In the performance of this work I agree to perform all work pursuars: ;o rules governing the described construction.
SIGNATURE /' ~•d''G~S~"'"7 ~~"`., l4/2r~~
AGENT/OWNER l DATE
Sq. Ft
# Rooms
ADDRESS
TELEPHONE #