HomeMy WebLinkAbout0027252-Plumbing (water heater) CITY OF OSHKOSH N2 27252
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG 1Z SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS S O I POtA1ar S PLAN NO.
OWNER 1 - , ; fan, 5-1-;en ■ M■'■
DESIGNER
USE /NATURE OF WORK r p l ac a W jLF
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 f)Cx rnm0 r\' S
BT 1 WH Disp WSoft CBasin t.,-
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
V
FEES: Valuation $ 5 3 7S . y 5' Permit Fee Paid $ 10. 00 Park Dedication $
ISSUED BY w 11-' Date 7' 7t Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE - n' c i 1 CT Z.
Ae NT /OWNER DATE
ADDRESS
TELEPHONE #