HomeMy WebLinkAbout0030333-Plumbing (water heater) CITY OF OSHKOSH N° 30333
L' PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBcrd SIGN El ZONING FLOOD PLAIN HEIGHT
ADDRESS 202.6 Z M, 1 /i Mt JiUe_,) PLAN NO.
OWNER jJ?v /C, J 1Li
DESIGNER q�j n
USE /NATURE OF WORK tI) 22 AUZia
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat A/C Vent El Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New El Change El Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTO TJ N
BT AWH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation W 'Y ‘0 /D• OD
Permit Fee Paid Park Dedication
ISSUED BY Date T "9 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/ NER DATE
ADDRESS
TELEPHONE