HomeMy WebLinkAbout0003573-Plumbing (water heater) CITY OF OSHKOSH 14 03573
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG p5, SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /3s' y Pr7-el.-J PLAN NO.
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OWNER �a., ,- /C C /4 ✓
DESIGNER
USE /NATURE OF WORK i Se7 4 Ze. .
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 i c/09-e_
BT WH Disp WSoft CBasin
Lav _ Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink _ LTub Eject SS Water
Other
FEES: Valuation $ .--2 66 Permit Fee Paid $ ) Park Dedication $
ISSUED BY 7 �� Date /- - Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE // 1�
AGEN /OWNED/ DATE
ADDRESS
TELEPHONE #