HomeMy WebLinkAbout0015708-Plumbing (water heater) CITY OF OSHKOSH N° 1
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ,( SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 9 / 0 //71-21SD% PLAN NO.
OWNER 007/
DESIGNER
USE /NATURE OF WORK /, / 4 - C r 604
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 kr".7 C
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 6 Permit Fee Paid $ �d Park Dedication $
ISSUED BY Date /U �— Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE X. i1 '�p °�-/G�
AGENT /OWNER DATE
ADDRESS
TELEPHONE #