HomeMy WebLinkAbout0002991-Plumbing (water heater)CITY OF OSHKOSH No _ 02991
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS / ~ O O~/ 'z~ 5 / Q !'~ PLAN NO.
OWNER Sc. `-~ r ! P , ~ C ~
DESIGNER
USE/NATURE OF WORK W /T 1 ~ ~, ~
BUILDING CONTRACTOR
Size Sq. Ft
Foundation
# Rooms # Stories
Class of Const.
Height .
Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
Volts Amps
- Circuits
PLUMBING CONTRACTOR
-BT ~WH
- Lav - Sh
- WC FDr
- Sink - LTub
Other
-. Disp - WSoft
- DW _ DF
SP Ur
-Eject ._ SS
CBasin
-San. Sewer_
-Storm Sewer
-Water
FEES: Valuafion $~~ ~ D Permit Fee Paid $ -~ - ~ ~ Park Dedication $
ISSUED BY Date ~-~ Final/O.P.
In the performance of this work I agree pe all work pursuant to rules governing the described construction.
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SIGNATURE
AGENT/OWNER DATE
ADDRESS
TELEPHONE #