HomeMy WebLinkAbout0040332-Plumbing (water heater) CITY OF OSHKOSH N ° - 40332
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG, SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS — 1 M fi\onfaL PLAN NO.
OWNER \36
DESIGNER
USE /NATURE OF WORK . A thUe . Q Q f
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 �S1Sb1 L YVQYYSYI�
BT WH Disp — WSoft CBasin
- Lay Sh DW DF _ San. Sewer
WC FDr SP Ur _ Storm Sewer
- Sink _ LTub Eject _ SS Water
Other
FEES: Valuation U��,�
$ Permit Fee Paid $ 1 � I Park Dedication $
ISSUED BY Date 9 -1-9 `1 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ,
AGENT /OWNER / DATE
ADDRESS
TELEPHONE #