HomeMy WebLinkAbout0008076-Plumbing (water heater)n CITY OF OSHKOSH N °_ 08076
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑
ELEC ❑ PLBG SIGN ❑
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ZONING
FLOOD PLAIN HEIGHT
ADDRESS
<�C:E _
_. FDr
_ PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft
Foundation
HEATING CONTRACTOR_
Heat ❑ A/C ❑ Vent ❑ Fuel /System
# Rooms
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type
Fixtures — Switches Receptacles
PLUMBING CONTRACTOR
BT
WH
Lav
_. Sh
WC
_. FDr
Sink
. LTub
Other
Disp
DW
SP
Eject
# Stories
Class of Const.
Heat Loss
Volts Amps
Circuits
W Soft
DF
Ur
SS
Height.
Occupancy Permit
BTU'S
CBasin
San. Sewer_
Storm Sewer
Water
o'er_ �,,,
FEES: Valuation $_� -C-- Permit Fee Paid $ _ Park Dedication $
ISSUED BY �` Date '
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE. 24 1 --
AGE !OWNER DATE
ADDRESS
TELEPHONE #