HomeMy WebLinkAbout0021544-Plumbing (water heater)CITY OF OSHKOSH N °_ 21544
n PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS 13,,J6 _ PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK
K
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HE/ r_'ONTRACTOR
neat ❑ A/C ❑ Vent ❑ Fuel /System
Heat Loss
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH
Lav Sh
WC FDr
Sink LTub
Other
Disp
DW
SP
Eject
WSoft
DF
Ur
SS
BTU'S
CBasin
San. Sewer_
Storm Sewer
Water
FEES: Valuation $ 3 - ~ Permit Fee Paid $ Park Dedication $
ISSUED BY Date L �yz' Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
l % /_��
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #