HomeMy WebLinkAbout0000878-Plumbing (water heater)CITY OF OSHKOSH No _ 00878
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
PLAN NO
OWNER < s~K--S~~ti. ~ P d~~l®~''`,-
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft
Foundation
HEATING CONTRACTOR
Heat ^ A!C ^ Vent ^ Fuel/System
# Rooms # Stories
Class of Const.
Heat Loss
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles .
Volts
Circuits
Height
Occupancy Permit
BTU'S
Amps
PLUMBING CONTRACTOR ~ ~,,, _ ~ ~,
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 . Final/O.P.
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
. ~-~.
SIGNATURE
DATE
ADDRESS
TELEPHONE M