HomeMy WebLinkAbout008508-Plumbing (water heater) /� CITY OF OSHKOSH N°_ 08508
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS �C7 „�� �C�fJs�'C;�r�� 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 � i��,
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 $�� 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 constiuction.
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SIGNATURE
' AGENT/OWNER DATE � �
ADDRESS
. TELEPHONE# .