HomeMy WebLinkAbout0045023-Plumbing (water heater) CITY OF OSHKOSH N2 45023
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / ? O 3 `� PLAN NO.
OWNER E
DESIGNER
USE/NATURE OF WORK J\ 0 //7/
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
_ BT _L WH Disp _ WSoft — CBasin
_ Lav _ Sh DW — DF _ San. Sewer
- WC _ FDr _ SP _ Ur — Storm Sewer
- Sink ^ LTub Eject — SS — Water
Other
FEES: Valuation $` ' °-4) Permit Fee Paid $ ,6 - Park Dedication $
ISSUED BY Date St � �s � Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE :11 *44 PI S '17 'S-
AGENT /OWNER DATE
ADDRESS
TELEPHONE #