HomeMy WebLinkAbout0015716-Plumbing (water heater & softener, rp valve)_CITY OF OSHKOSH ~ N° .15716
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS
OWNER
PLAN NO
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
# Stories
Class of Const.
- Heat Loss
Volts Amps
Circuits
PLUMBING CONTRACTOR K o (/~
BT ~ ~
WH _ Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
-Sink ~ LTub ~ Eject SS Water
Other ~ ' _/T ~ % L-r~ P
FEES: Valuation $ / ~~S v Permit Fee Paid $ (~ ~~ Park Dedication $
ISSUED BY_ ~~ Date ~d ~ -~~_ Final/O. P. ~~~~ / ~ S
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ''~i~>~/'~~ r~ ~~/ ,jf~
AGENTIOWNER DATE
ADDRESS
Sq. Ft
# Rooms
TELEPHONE #