HomeMy WebLinkAbout0010401-Plumbing (water heater) CITY OF OSHKOSH N2 10401
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBVS SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS .ZZ/ P , - / /?- PLAN NO.
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, - 4 OWNER / ���Y�
DESIGNER
USE /NATURE OF WORK___________ ?-01e–r -t
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 S 42f d24!
BT L WH Disp WSoft CBasin
_Lay Sh DW DF — San. Sewer
WC FDr SP — Ur Storm Sewer
Sink _ LTub Eject _ SS Water
Other
FEES: Valuation $ a0 ermit Fee Paid $ 5 c:).. Park Dedication $
ISSUED BY Via— Date P��` // Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ► iffil► ..'-1 ��
AGENT /OWNER DATE
ADDRESS
TELEPHONE #