HomeMy WebLinkAbout0015712-Plumbing (water heater) CITY OF OSHKOSH
N9 1
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG,a SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /33 2, / flrso� PLAN NO.
OWNER , SQ /u ��G Ave
DESIGNER
USE /NATURE OF WORK / ‘CT' Cd.../4
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 £E? ar
BT 2 WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ ( • Permit Fee Paid $ l � o a
_� // Park Dedication $
ISSUED BY arr_ Date / — Z Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
de-le/ � ENT/OWNER
DATE
ADDRESS
TELEPHONE #