HomeMy WebLinkAbout0032109-Plumbing (water heater)CITY OF OSHKOSH N°- 32109
l� PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG / / -11- q SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS o S �^ PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft
Foundation
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System
/""v/d
# Rooms # Stories Height .
Class of Const. Occupancy Permit
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
BT
WH
Lav
Sh
— WC
_ FDr
Sink
LTub
vurer
Disp
DW
SP
Eject
Heat Loss
Volts Amps
Circuits
W Soft
DF
Ur
SS
BTU'S
CBasin
San. Sewer_
Storm Sewer
Water
FEES: Valuation $
�o . Permit Fee Paid $ Park Dedication $
ISSUED BY Date I 'L Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE AGENT/ ER DATE
ADDRESS TELEPHONE #
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