HomeMy WebLinkAbout0040746-Plumbing (water heater) CITY OF OSHKOSH N ° - 40746
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG IZI SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS t 1A ' ' ..}Q S PLAN NO.
OWNER N a f in
DESIGNER
USE /NATURE OF WORK k. k YL�' . QQ r
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 3aL09,2(►1t_
- BT WH _ Disp _ WSoft — CBasin
- Lav _ Sh _ DW _ DF _ San. Sewer
WC FDr _ SP _ Ur _ Storm Sewer
— Sink LTub _ Eject — SS _ Water
Other
CO /
FEES: Valuation $ `—COs CID Permit Fee Paid $ Park Dedication $
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ISSUED BY Date - - -'v�� .4 - 7Finai /O.P.
In the is work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
• .GENT/ ER - DATE
ADDRESS
TELEPHONE 0