HomeMy WebLinkAbout0028672-Plumbing (water heater)CITY OF OSHKOSH N °- 2862
n PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG 'A SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 9/(c C(/-op P PLAN NO.
OWNER- LC`.��:��ctio.
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
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts
Fixtures Switches Receptacles —
PLUMBING CONTRACTOR JG n YYt c3 n
BT X WH Disp
Lav Sh DW
WC FDr SP
Sink LTub Eject
Other
-- WSoft
DF
Ur
__SS
Amps
Circuits
BTU'S
-- CBasin
--San. Sewer-
--Storm Sewer
-- Water
FEES: Valuation $ 3 S ; `i c� Permit Fee Paid $ A Ci ��� — Park Dedication $
ISSUED BY L" Date — y_ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
i--_AGENT,'OWNER DATE
ADDRESS
TELEPHONE #