HomeMy WebLinkAbout0027949-Plumbing (water heater) CITY OF OSHKOSH N2 27949
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG 4 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 c/ PLAN NO.
OWNER f g
DESIGNER
USE /NATURE OF WORK A-)
-cy 11---
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 1
BT WH Disp WSoft CBasin L`
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 W jr. Date 0/Y Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
44---, L
AGENT /OWNER Z DATE
ADDRESS 1 Q 5 Q. -CR- k. 33 --i, 7 L(1
1 TELEPHONE