HomeMy WebLinkAbout0010409-Plumbing (water heater) CITY OF OSHKOSH No 10409
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGX SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /73 '/ ! gel" II f PLAN NO.
OWNER (,.-4/; AZ/ c S - -
DESIGNER
USE /NATURE OF WORK i. �,
/ -
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 '` Psia2.Gd
BT / WH Disp WSoft CBasin
Lav _ Sh _ DW DF San. Sewer
- WC _ FDr SP Ur Storm Sewer
- Sink _ LTub Eject SS Water
Other
FEES: �-� V
ES: Valuation $ V /� Permit Fee Paid $ S Park Dedication $
ISSUED BY_c;15, Date ` / /�/�� Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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C / / c
SIGNATURE v
AGENT /OWNER D E
ADDRESS
TELEPHONE #