HomeMy WebLinkAbout0041431-Plumbing (water heater) CITY OF OSHKOSH N2-41431
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG Jl SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 6IQ L 1 J en infilotith. PLAN NO.
OWNER •-\ NM 6 inetittS0 Pr\
DESIGNER yy,,
USE/NATURE OF WORK W in
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 7 fm(V\CmS
- BT WH Disp — WSoft — CBasin
- Lay _ Sh DW _ DF — San. Sewer
- WC _ FDr SP — Ur — Storm Sewer
— Sink _ LTub Eject _ SS _Water
Other
FEES: Valuation $ H5' Permit Fee Paid $
Park Dedication $
ISSUED BY ___ � Date V / /,, Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE #