HomeMy WebLinkAbout0039144-Plumbing (water heater) N°_ 39144
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG(' SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /02 O -S- d 0 PLAN NO.
OWNER C-.-49,
DESIGNER
USE /NATURE OF WORK /,,/
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 f WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC _ FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
��ao .QQ _ 0 c...) J
F
EES: Valuation $ Permit Fee Paid $ Park Dedication $
ISSUED BY Date ,' Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE / 4,1 a____(. ( b -i _ �4 g z� v j j L) /l �`l�`�`�
/ AGENT /OWNER DATE
ADDRESS 13 a P i TZ' J OSii _SH ( 1,., +3 1`(t, S --3J - y'7
TELEPHONE #