HomeMy WebLinkAbout0016328-Plumbing (water heater)CITY OF OSHKOSH N °_ 16328
n PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG)& SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS 1� , � —_ PLAN NO.
OWNER C7,�����
DESIGNER
USE /NATURE OF WORK��r���'
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
Fixtures Switches Receptacles
PLUMBING CONTRACTOR —s
BT
WH
Lav
Sh
WC
FDr
Sink
LTub
Other
Disp
DW
SP
Eject
Volts Amps
W Soft
DF
Ur
SS
Circuits
— CBasin
San. Sewer_ .— Storm Sewer
Water
FEES: Valuation $ Permit Fee Paid $ Park Dedication $
ISSUED BY 7: l Date Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE DATE
ADDRESS TELEPHONE #