HomeMy WebLinkAbout0013310-Plumbing (water heater)PE _CITY OF OSHKOSH No 13310
RMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ,~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~~~~ ~!'~~GC /i' PLAN NO.
OWNER
DESIGN
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
# Rooms
# Stories Height
Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles .
Heat Loss BTU'S
Volts Amps
Circuits
PLUMBING CONTRACTOR c >G~.-nom, ~~,w~
- BT l WH Disp WSoft CBasin
- Lav - Sh - DW - DF -San. Sewer
- WC - FDr _ SP - Ur -Storm Sewer
-Sink _. LTub -Eject - SS -Water
Other
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FEES: Valuation $~,Zr ~ „~ Permit Fee Paid $ _ f~} ~/ Park Dedication $
ISSUED BY ,. `/ ti Date ~ L "~ Final/O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
c"_
AGENT/OWNER
DATE
TELEPHONE #