HomeMy WebLinkAbout0017181-Plumbing (water heater) CITY OF OSHKOSH N2 17181
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 23 7 S/ Al1)QSO PLAN NO
OWNER ( - —
DESIGNER
USE /NATURE OF WORK 4 6'`- '4 -/�C
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 4 5, A
BT 4 WH Disp WSoft CBasin
- Lav Sh DW DF San. Sewer
- WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
A.
FEES: Valuation $ Top Permit Fee Paid $ 'C ' OD_ Park Dedication $
ISSUED BY , Ads _ to Date °/ /77 a Final /O.P.
In the performance of this w•„ I agree t•) perform all work pursuant to rules governing the described construction.
SIGNATURE � • 0 � AY
AGENT /OWNER DATE
ADDRESS
TELEPHONE #