HomeMy WebLinkAbout0002858-Plumbing (water heater) CITY OF OSHKOSH N o 02858
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG 6 1K SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / / ' / 'c 1 PLAN NO.
OWNER ,L._
DESIGNER /`
USE /NATURE OF WORK e �e7C , / d
Y^� /1/J 7i <<'��La
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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 IiL i---
BT J WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
— WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ rmit Fee Paid $ Park Dedication $
ISSUED BY l✓a Date Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE (�
77 /. /
AG • NER
DATE
ADDRESS
TELEPHONE #