HomeMy WebLinkAbout0043008-Plumbing (water heater) CITY OF OSHKOSH N° 43008
PERMIT -- APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS - f/ , . PLAN NO.
OWNER 10 4.-- -
DESIGNER
USE/NATURE OF WORK g /747
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 6 .�(�d'
— BT _L WH _ is0� p _ WSoft — CBasin /
— Lav Sh DW — DF San. Sewer
- WC _ FDr _ SP _ Ur _ Storm Sewer
Sink _ LTub _ Eject _ SS — Water
Other
FEES: Valuation $ ��"" fl ° Permit Fee Paid $ - G Park Dedication $
ISSUED BY 1�% ��/ Date 7 Y.9 - "E Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 0_ - CtA' , rift $ /91
AGENT /OWNER C ` DATE
ADDRESS I 3 Pa+.IEKS s -l- 23S Lim o
TELEPHONE 0 (