HomeMy WebLinkAbout0020899-Plumbing (water heater) CITY OF OSHKOSH N2 20899
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ig, . SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 22. 30 .� > - r PLAN NO.
OWNER 164/. /4....e-Z---77 d
DESIGNER
USE /NATURE OF WORK G' s�LQ=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 Q
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 $ 1// r'�' Permit Fee Paid $ M at., Park Dedication $
ISSUED BY Date e — 72 — V Final /O.P.
In the 'Tr ormance o is work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE '..------
AGENT /OWNER DATE
ADDRESS
TELEPHONE it