HomeMy WebLinkAbout0031724-Plumbing (water heater) /CITY OF OSHKOSH N° 31724
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG [ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS r 7 / /_-?_ S%
PLAN NO.
cy-,
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OWNER
&7r4I .
DESIGNER
USE /NATURE OF WORK vv
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 0 e
_____ 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 $ 3 W6 (m d Z9
Permit Fee Paid $ / Park Dedication $
ISSUED BY `
Date /1 ) 3 ,' Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �"-rl-S 11 1-441-"
AGENT /OWNER DATE
ADDRESS
TELEPHONE #