HomeMy WebLinkAbout0035305-Plumbing (water heater) CITY OF OSHKOSH N° 35305
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGd"SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS keg/ g( c d a/L) PLAN NO.
OWNER r��'(r YL
DESIGNER �/
USE /NATURE OF WORK 4°� hthi
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
/ D %c/I� lify
— BT _d WH Disp WSoft CBasin C-
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
— Sink LTub Eject SS Water
Other
FEES: Valuation - zo 4 v °0-c) // $ . P ermit Fee Paid $ �D . Park Dedication $
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ISSUED BY �/6Z,�� C�'-Qb....4e / Date 1 Final /O.P.
U a:-/3
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ENT /OWN • DATE
ADDRESS
TELEPHONE #