HomeMy WebLinkAbout0022117-Plumbing (water heater) CITY OF OSHKOSH N° 22117
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /6 2 7 i -- .--c -
PLAN NO.
OWNER A-- 6
DESIGNER
USE /NATURE OF WORK (_-__ .–ove " --Z --
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 — CBasin WH Disp WSoft 4•0040".a....
Lav _ Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ 3 ° ° Permit Fee Paid $ / - ° ci " Park Dedication cation $
ISSUED BY / Date 17/ f �/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ✓�.\-
AGENT/0 NER
DATE
ADDRESS
TELEPHONE #