HomeMy WebLinkAbout0003905-Plumbing (water heater)CITY OF OSHKOSH No _ 03905
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS _ ~~ C~~ ~~~ PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
# Rooms # Stories Height .
Class of Const. Occupancy Permit
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles .
PLUMBING CONTRACTOR ..
- BT ~ WH
Lav _ Sh
- WC - FDr
-Sink _ LTub
Other
Circuits
Disp
- DW
SP
-Eject
Volts Amps
- WSoft
DF
Ur
- SS
- CBasin
-San. Sewer_
-Storm Sewer
.- Water
crz--- ~r~_
FEES: Valuation $ ~ Permit Fee Paid $ Park Dedication $
ISSUED BY ~
Date Final/O. P.
In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
AGENT/OWNER
DATE
TELEPHONE #