HomeMy WebLinkAbout0017665-Plumbing (water heater) CITY OF OSHKOSH N°_ 17665
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG X SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /K 4 /4X /L PLAN NO.
OWNER le -/l%S.SO L<J
DESIGNER
USE /NATURE OF WORK /'r,a__C c
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 P3'll�'�`''L674.3
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 3 7l Permit Fee Paid /n Park Dedication
ISSUED BY Date. �0 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
r
SIGNATURE -7,2 6
AGENT /OWNER DATE
ADDRESS
TELEPHONE