HomeMy WebLinkAbout0007116-Plumbing (water heater) CITY OF OSHKOSH N° 07116
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /0 /4( 6c/Z Z, PLAN NO.
OWNER 4 //a�- (j/�p
DESIGNER
USE /NATURE OF WORK "L /!cf r /27eJ1
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 C.--c 2 /�7?AyLQ
BT __L WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
22
FEES: Valuation
V Permit Fee Paid S Park Dedication
ISSUE BY /‘aoY Date /9 /d' Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE .5-
-.mar
AGENT /OWNER O
ADDRESS
TELEPHONE