HomeMy WebLinkAbout0017712-Plumbing (water heater) CITY OF OSHKOSH N°_ 17712
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /73 zill.-- 4 7 . i=_, PLAN NO.
OWNER --% .6 -.„
DESIGNER
USE /NATURE OF WORK /- C t
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 c_/� _.2. 1
BT _l_. WH Disp WSoft CBasin
Lav _ Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
-" �7 V
FEES: Valuation $ 7�5 Permit Fee Paid $ c® Park Dedication $
ISSUED BY________________________________ Date /Z 7i Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE w••. "` 410 112° e)
AGENT /OWNER DATE
ADDRESS
TELEPHONE #