HomeMy WebLinkAbout0000786-Plumbing (water heater) CITY OF OSHKOSH N2 00786
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /2 y t.el/G PLAN NO.
OWNER S.S 4 !J�\is-
DESIGNER
USE /NATURE OF WORK f^rpL!_ i,- 4--
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 s�i3iyL
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 cam— •ermit Fee Paid 5 Park Dedication
ISSUED BY Date dr L' Final /O.P.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1\ I t .n,
AGENT /OWNER DATE
ADDRESS
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