HomeMy WebLinkAbout0002780-Plumbing (water heater) CITY OF OSHKOSH No 02780
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGJ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 q 7 i / 1/.0f''4, -
PLAN NO.
OWNER ,fi�irn.r �tCcNQ�A-1^
DESIGNER
USE /NATURE OF WORK
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 �\CYt twt.c #_tl
BT LWH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ •Zcc-C) °(_
Permit Fee Paid $ Park Dedication $
ISSUED r �"�''��� - Date __ 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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F-� SIGNATURE PZ-
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #