HomeMy WebLinkAbout0035321-Plumbing (water heater) CITY OF OSHKOSH N° 35321
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG)4 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /, 1 /»/z/5l7L� PLAN NO.
OWNER 12 Ah FP //c e'
DESIGNER
USE /NATURE OF WORK /4 . /07S/
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 _„ ____..U_2.d )
- BT / WH Disp WSoft CBasin
- Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
cr° FEES: Valuation $ , ( Permit Fee Paid $ w • /L5 Park Dedication $
ISSUED BY_,�(,'� i//1 ,,QJ Date Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE n
T /OWNER
DATE
ADDRESS
TELEPHONE #