HomeMy WebLinkAbout0042015-Plumbing (water heater) 4 7/
CITY OF OSHKOSH N 42015
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG )2K
SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /60• "Air PLAN NO.
OWNER C A— -9 „„,„„c
DESIGNER
USE /NATURE OF WORK
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
BT _L WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation S4-0 Permit Fee Paid Park Dedication
ISSUED BY Date `6 2 2, Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURf L /0 7 S'
AGENT /OWNER DATE
ADDRESS
TELEPHONE