HomeMy WebLinkAbout0017672-Plumbign (water heater) CITY OF OSHKOSH N°_ 17672
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ?Y (e) i � // ! 17Gv - a.. PLAN NO.
OWNER id ' $ //J;2S 4
DESIGNER
USE /NATURE OF WORK 4CC
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 v oJ•yJ,7'2eJy/
BT J WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ 3 Ob Permit Fee Paid $ �6 as ✓ Park Dedication $
ISSUED BY 7 ` G' Date y- -fe Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Kit ''(- 4 =V " ge)
AGENT /OWNER DATE
ADDRESS
TELEPHONE #