HomeMy WebLinkAbout0034098-Plumbing (water heater)n CITY OF OSHKOSH N °- 34098
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN E] ZONING F=LOOD PLAIN HEIGHT
ADDRESS
OWNER
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System
PLAN NO
# Rooms # Stories Height.
Class of Const. Occupancy Permit
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
— BT J WH
— Lav Sh
_WC — FDr
— Sink LTub
Other
DW
— SP
Eject
Heat Loss
Volts Amps
Circuits
— WSoft
DF
— Ur
_SS
BTU'S
__ CBasin
--San. Sewer_
Storm Sewer
Water
FEES: Valuation $ 9 �' o Permit Fee Paid $ ` e3 _ Park Dedication $
ISSUED BY Date A '� c�
— Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ?�
NT /OWNER DAT
ADDRESS
TELEPHONE #