HomeMy WebLinkAbout0022109-Plumbing (water heater) C■1111) CITY OF OSHKOSH N°_ 22109
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG a?' SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / g 7
/� � PLAN NO.
OWNER �- Q -�
DESIGNER
USE /NATURE OF WORK Z2__.e..
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR S
BT / WH Disp WSoft CBasin (...3
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
/
FEES: Valuation $ 37C •� 0 Permit Fee Paid $ ///V7-, ° ' 0 a Park Dedication $
ISSUED BY e^-. `'0C-e Date
Final /O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE_ /V-N-
AG T /OWNER DATE
ADDRESS
TELEPHONE #