HomeMy WebLinkAbout0007134-Plumbing (water heater) CITY OF OSHKOSH N2 07134
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGRL SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS -g / 1/4,...5 PLAN NO.
OWNER SX/4� -7,_/
DESIGNER
USE /NATURE OF WORK e‹ /Gi re. /71e ?" j
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 �✓L471st 2.24
- BT / WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
- WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ [� 1 t ' ✓ Permit Fee Paid $ Park Dedication $
ISSUED BY Date , =. 47 /l}�� Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE att
AGENT /OWNER DATE
ADDRESS
TELEPHONE #