HomeMy WebLinkAbout0037163-Plumbing (water heater) ��� $
CITY OF OSHKOSH N° 37163
n PERMIT - APPLICATION AND :
RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS � C� � PLAN NO.
OWNER � �
DESIGNER
USE/NATURE OF WORK
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 �
—BT �WH _Disp WSoft —CBasin
—Lav _Sh _DW _DF —San. Sewer
—WC FDr —SP _Ur —Storm Sewer
—Sink LTub Eject —SS Water
Other
FEES: Valuation $ ���• � � Permit Fee Paid $ �� ' � a 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 f 1 ' �� ��
AGENT/OWNER DATE
ADDRESS
_ TELEPHONE# �