HomeMy WebLinkAbout0016359-Plumbing (water heater) CITY OF OSHKOSH N2 16359
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /CF.? r rte(/ eles'57Lw^ PLAN NO.
OWNER Q7 (9#
DESIGNER
USE /NATURE OF WORK CC
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 CI-777-76?-672.2j
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 C.300 Permit Fee Paid Park Dedication
ISSUED BY Ai /i Date aP ce Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE X -,..4.
AGENT /OWNER DATE
ADDRESS
TELEPHONE