HomeMy WebLinkAbout0026351-Plumbing (water heater) 4). CITY OF OSHKOSH N°_ 26351
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG Or SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /27,' C '1 PLAN NO.
OWNER E
DESIGNER
USE /NATURE OF WORK 6 3 i
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 4
BT JWH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation O 0 .o 6 Permit Fee Paid O o O Park Dedication
ISSUED BY Date /1- S""
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE J 9' f
AGENT /OWNER DATE
ADDRESS O a S 12 ,u_Le "t c d3347 7
TELEPHONE