HomeMy WebLinkAbout0028676-Plumbing (water heater) CITY OF OSHKOSH N°_ 28676
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG 71 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / So -1 'I n d � n bc- PLAN NO.
OWNER c \ 0 VI y) 6 c ,, "c}t.k.a lQ.--
DESIGNER D
USE /NATURE OF WORK / LA-) ft
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 5 o \ Yh (5 Y\ S pi ICl tf 2
BT WH Disp J WSoft _ CBasin c^`'�"
y
Lav _ Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ ‘ 03 .I (o Permit Fee Paid $ 1 0. 0 6 Park Dedication $ (-0 /�
ISSUED BY � Date /5// /`L-- Final /O.P.
In the performance of this work I agrees perform all work pursuant to rules governing the described construction.
SIGNATURE . l —
AGENT /0
DATE
ADDRESS
TELEPHONE #