HomeMy WebLinkAbout0030354-Plumbing (water heater) 41.) CITY OF OSHKOSH N° 30354
- PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 _ / i//In i ad n) PLAN NO.
OWNER Aeie , fad),
DESIGNER
USE /NATURE OF WORK b»/J.1). kah
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 "I!/ //L 111 ' J 1■
BT kWH Disp / Soft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ I /6 /- ed Permit Fee Paid $ 1 /V 1�C0 • Park Dedication $
ISSUED BY 9 ----,--- - , Date ^ L Final /O.P.
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURr ry \,-
AG= T /OWNER DATE
ADDRESS
TELEPHONE #