HomeMy WebLinkAbout0002766-Plumbing (water heater) CITY OF OSHKOSH N2 02766
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG ja, SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 0 /3 i4/ n e fXti PLAN NO.
OWNER CJ O l i 2 7e,/
DESIGNER
USE /NATURE OF WORK y-� /G�.r- e. 6-c/Y mi
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 L� YLr v -i .c
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 �6 Permit Fee Paid 'D Park Dedication
ISSUED BY
J'L"'� Date 'x /y Final /O.P. !r /Zf/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1 �I t
AGENT /OWNE
DATE
ADDRESS
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