HomeMy WebLinkAbout0013309-Plumbing (water heater) CITY OF OSHKOSH N2 13309
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG pr SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ,F`7 J—/ /7! ll (/Ge PLAN NO.
OWNER niG7o3o"�� /
DESIGNER
USE /NATURE OF WORK______ 1-t--- 4
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 ��11 a
BT ---L 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� Permit Fee Paid $ _. Z Park Dedication $
ISSUED BY � L . ‹;V Date / /-e Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE Y � - r �---
AGENT /OWNER DATE
ADDRESS
TELEPHONE #