HomeMy WebLinkAbout0041980-Plumbing (water heater) CITY OF OSHKOSH N2 41980
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS) in 0 inn /Y.) a, PLAN NO.
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OWNER c IIS1S )L
DESIGNER ,� (�
USE /NATURE OF WORK �.4 C O I a U )f-9 r r
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 _2(1121 it 11Q[ri
- BT WH - Disp _ WSoft — CBasin
Lay Sh DW DF San. Sewer
WC FDr - SP Ur Storm Sewer
- Sink _ LTub - Eject — SS — Water
Other
co
FEES: Valuation $ Permit Fee Paid $ a " )
r, y 71 Park Dedication $
ISSUED BY Date 10 � _` 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 #