HomeMy WebLinkAbout014997-Plumbing (water heater) CITY OF OSHKOSH N° 14997
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG j. SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /7 Q& / ,0PA- t PLAN NO.
OWNER 4 =.2%60 J a,.r 4
DESIGNER
USE /NATURE OF WORK V 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 /O," C
BT / WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
° � - ✓
mm,, r.Z
/C) FEES: Valuation $ <I v Permit Fee Paid $ � Park Dedication $
ISSUED BY / / .r-w- Date / —6 9 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE L r "
_ _
• "DER DATE
ADDRESS
TELEPHONE #