HomeMy WebLinkAbout0031669-Plumbing (water heater) CITY OF OSHKOSH N°_ 31669
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG$ SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS KO 7 ' t + PLAN NO.
OWNER J —--
DESIGNER
USE /NATURE OF WORK /v /7
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
BT / WH Disp WSoft CBasin
- Lav _ Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
- Sink LTub Eject SS Water
Other
FEES: Valuation $ S4/6.0 0 Permit Fee Paid $ loo /' O � / -- Park Dedication $
ISSUED BY ie Date /'/ /7 -Z Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction. 4 SIGNATURE ((( '' DATE AGENT /OWNER
ADDRESS (32d ` . C=CI'l li
TELEPHONE #