HomeMy WebLinkAbout0003901-Plumbing (water heater)_CITY OF OSHKOSH No 03901
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~.?~.Z d3S-~~ PLAN NO.
OWNER ~i~C~.- (/(/il/~Lf~ J
DES
USE/NATURE OF WORK
.BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. 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 ~ ~~ ~dac
- BT ~ WH Disp
-Lav -Sh -DW
WC - FDr - SP
-Sink LTub -Eject
Other
WSoft
DF
- Ur
- SS
CBasin
-San. Sewer_
-Storm Sewer
Water
FEES: Valuation $ ~ Permit Fee Paid $ ~- Park Dedication $
ISSUED BY Date Final/O.P.
In the pecfsrrr+a is work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE
DATE
ADDRESS
TELEPHONE #