HomeMy WebLinkAbout0016143-Plumbing (water heater) 4r) CITY OF OSHKOSH N2 16143
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT G
ADDRESS / Z 'T fJ PLAN NO.
OWNER ` /`0 0 0 /ti1 (11E L L E rL
DESIGNER
USE /NATURE OF WORK C £ / • ,Ac
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
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 $ Oc m J Permit Fee Paid $ /6 " Park Dedication $
ISSUED BY Date ///-_ /61 Final /O.P.
In the performance of is w rk 7 (' o perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE #