HomeMy WebLinkAbout0006738-Plumbing (water heater) CITY OF OSHKOSH N2 06738
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGXSIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /I /er ,5:, id 1��— PLAN NO.
OWNER i� ` ,4
DESIGNER
USE /NATURE OF WORK All. ..r _. J'Aft
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 _C-5-"e-ac J
— BT WH — Disp WSoft CBasin
Lay Sh DW DF San. Sewer
__WC — FDr SP Ur Storm Sewer
- Sink LTub Eject SS Water
Other
0-411,.. i
FEES: Valuation $_ 2(0 Permit Fee Paid $ 41 Park Dedication $
ISSUED BY Date /'1' ()/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE - �% w ���
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #