HomeMy WebLinkAbout0037757-Plumbing (water heater) �ll
CITY OF OSHKOSH N° 37757
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG J SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 9430 1 ! tknbtO C(---' PLAN NO.
OWNER WI - Pe? )
DESIGNER
USE /NATURE OF WORK hipi(LO1L 9) -14--
•
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 SCUI'1 /TUI VL4
- 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 $ - 3 57) ,C(..) Permit Fee Paid $ /0 • ab Park Dedication $
ISSUED BY Date Final /O. P.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
•
SIGNATURE . V \As'
AGENT/0
DATE
ADDRESS
TELEPHONE #