HomeMy WebLinkAbout0016956-Plumbing (water heater) CITY OF OSHKOSH N2 16956
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG y SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS JF573 ....S iP12/ 5 / PLAN NO.
OWNER .<196/-6, 77/'7/ 1
DESIGNER
USE /NATURE OF WORK 6.4...)4 A/ / JCQ
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 Calf /c
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
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FEES: Valuation $ 3/410 Permit Fee Paid $ /0 4)-6 Park Dedication $
ISSUED BY _ >i�� �-
Date "' � � Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
I
SIGNATURE A.t' � 9-) �` CJ` F / DAT � � � 9 `�
AG NT /OWNER E
ADDRESS
TELEPHONE #