HomeMy WebLinkAbout0028683-Plumbing (water heater) CITY OF OSHKOSH N° 28683
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG 154 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 o7 Cp M-4 n l/YIR ..vrto. PLAN NO.
OWNER n 3 . QO.. - \ 6P 3 A PA
DESIGNER
USE /NATURE OF WORK ( Lv14
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 5 C pi b
X - 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 $ 3 S g • 90 Permit Fee Paid $ 16• C3 D Park Dedication $
ISSUED BY G.Jik Date LS7' L Final /O.P.
In the performance of this work I agre to perform all work pursuant to rules governing the described construction.
c
SIGNATURE t
AGENT /OWNER DATE
ADDRESS i
TELEPHONE #