HomeMy WebLinkAbout0032103-Plumbing (water heater & softener) X//
CITY OF OSHKOSH
N2 32103
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG i tC SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS O PLAN NO.
OWNER s
DESIGNER Q J^ f
USE /NATURE OF WORK v H S
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 Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT i. WH Disp WSoft CBasin �v
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation Permit Fee Paid 0 n Park Dedication
ISSUED BY Date 2-- Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/0 M DATE
ADDRESS
TELEPHONE