HomeMy WebLinkAbout0010353-Plumbing (water heater) CITY OF OSHKOSH N ° 10353
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG g SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS _ CJG.W PLAN NO.
OWNER /.'
DESIGNER /
USE /NATURE OF WORK t .0 _ r -
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. ` Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C p 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�r:Z
BT _____4H Disp WSoft CBasin
—. Lav _ Sh _ DW DF San. Sewer
— WC — FDr _ SP Ur Storm Sewer
— Sink _ LTub _ Eject SS Water
Other
FEES: Valuation $ i Permit Fee Paid $ %.5
Park Dedication $
ISSUED BY Date 2//••24 Final /O.P.
In the perforii - • - - • I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE , /L, /, �„_ q
AGENT /OWNER ,r
DA E
ADDRESS
TELEPHONE #