HomeMy WebLinkAbout0002057-Plumbing (water heater) CITY OF OSHKOSH N2 02057
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG .0 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS A; •- / � f a, ‘ .-- a PLAN NO.
OWNER /C.A.,. 41 1:77.4 7"
DESIGNER
USE /NATURE OF WORK rtr �G t �.esz ,` s7
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 S - 7'7 / zY4,03.1—r
.— BT IWH Disp WSoft _ CBasin
Lav Sh DW DF San. Sewer
— WC — FDr SP Ur Storm Sewer
Sink _ LTub Eject SS Water
Other
FEES: Valuation $ 3 d Permit Fee Paid $ ��
Park Dedication $
ISSUED BY - L-C/e - -- - -- Date ////' C Final /O.P.
In the pernreneework I agree to perform all work pursuant to rules governing the described construction. ' ..,.._
SIGNATURE PTh Ci --- -y A',, t f t k e'ca
AGENT /OWNER
DA E
ADDRESS \.
TELEPHONE #