HomeMy WebLinkAbout0038229-Plumbing (water heater) A1/1
CITY OF OSHKOSH N °_ 38229
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS a3301/. ,d'hiAtdoPL T. PLAN NO.
OWNER Y►'L s.d?/(C1
DESIGNER /J 1, /
USE /NATURE OF WORK 11 • / /-
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 Z • Aion2{i( �1 ,
BT L WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
— WC FDr SP Ur Storm Sewer
Sink — LTub Eject SS Water
Other
FEES: Valuation $ `'3O • ou Permit Fee Paid $ f 6 - 00
Park Dedication $
ISSUED BY Date Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE c 1 1 itk-L''C‘f\IJl N SA
AGENT /OWNER (\Lk
DATE
ADDRESS
TELEPHONE #