HomeMy WebLinkAbout0035877-Plumbing (water heater) CITY OF OSHKOSH N ° - 35877
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGAil SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS �i PLAN NO.
OWNER ..
DESIGNER `,�/
USE /NATURE OF WORK �'4' Y
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
BT / r WH Disp WSoft CBasin •==�
Lav _ Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink _ LTub Eject SS Water
Other
a
FEES: Valuation $ ° 0 c� Permit Fee Paid $ Vl C� ' 6 O K-- Park Dedication $
ISSUED BY Date /2 3 Final /O.P.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE V/ �[1DATE
AGENT /OW ER
ADDRESS ID /o...,„,.s S 23S --
TELEPHONE #