HomeMy WebLinkAbout0002390-Plumbing (water heater) CITY OF OSHKOSH No 02390
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG .SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / c
/ 4 0 / T �P CS �j r-040 PLAN NO.
OWNER /iL /.,�
DESIGNER / J
USE /NATURE OF WORK ""7: .i r1 / � cjv, /L_c d /�y_.�
t .e.tr, it E!'tTic..—
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Haat ❑ 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 i1f y a
BT / WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
cll.. FEES: Valuation $ ermit Fee Paid $ 5 off--- ✓ Park Dedication $
ISSUED BY cell D t / // ,�
Date Final/O.P. I / b i )k 7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE _ 1 � A----- / AGENT/ NE DATE
ADDRESS
TELEPHONE #