HomeMy WebLinkAbout0042925-Plumbing (water heater) CITY OF OSHKOSH N2 42925
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 131(o b PLAN NO.
OWNER Rtl6:Patr 3k..o Ia
DESIGNER 1,, h
USE/NATURE OF WORK U)l , 14 i
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 jQ,YY1►fYl(IYI3
— BT _L WH Disp _ WSoft _ CBasin
- Lav _ Sh _ DW _ DF — San. Sewer
WC _ FDr SP _ Ur — Storm Sewer
— Sink _ LTub Eject — SS _ Water
Other
FEES: Valuation $ qC ) •C° Permit Fee Paid $ /D • Park Dedication $
ISSUED BY Date 42 _I_ 2 Y Final /O.P.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE t ti' Y N
AGENT WNER DATE
ADDRESS
TELEPHONE #