HomeMy WebLinkAbout0028698-Plumbing (water heater) CITY OF OSHKOSH N2 28698
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG y SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 133 Pn w -.Q/VJ PLAN NO.
OWNER `) crcl, \ PQFJ► /Y
DESIGNER
USE /NATURE OF WORK RQ.I k. , W n
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 L J US
BT X WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
— WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ -.---.). /y 4 -r' S Permit Fee Paid $ / 0 • 0 6 Park Dedication $
ISSUED BY l��J� Date S/° 4 /71- -
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ,
AGENT /OWN •
DATE
ADDRESS
TELEPHONE #