HomeMy WebLinkAbout0020913-Plumbing (water heater) CITY OF OSHKOSH N° 20913
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2 ' PLAN NO.
OWNER VGTiK
DESIGNER
USE /NATURE OF WORK /4 , , .. _ _ a-
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 4 z6 ,, ;
BT WH Disp WSoft CBasin C '` S
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation �
$ I 9 Permit Fee Paid $ / 0er° Park Dedication $
ISSUED BY Date /O ' — ,d Final /O.P.
In th i s work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE A-7 AGENT /OWNER DA
ADDRESS
TELEPHONE #