HomeMy WebLinkAbout0016304-Plumbing (water heater) CITY OF OSHKOSH N2 16304
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG$ SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /7/7 L%v uc,4 eS'/ ri^ PLAN NO.
OWNER g O(.
y
DESIGNER
USE /NATURE OF WORK r'r� 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 j'!72
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 360.- Permit Fee Paid l Park Dedication
ISSUED BY ?-6< Date Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE_ NIP■•
At NT /OWNER DATE
ADDRESS
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