HomeMy WebLinkAbout0024542-Plumbing (water heater) CITY OF OSHKOSH N°_ 24542
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 'O` PLAN NO.
OWNER L--e
DESIGNER /''��
USE/NATURE OF WORK r- /�_ds-
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
— BT WH Disp WSoft CBasin
w
Lay Sh DW DF San. Sewer
— WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ 40(5) - 0 tz, Permit Fee Paid $ " - c) Park Dedication $
ISSUED BY L-t, Date 7 " ) 6 "9/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ..9c: ‘ /
A ENT /OWNER /'
ADDRESS
TELEPHONE #