HomeMy WebLinkAbout0046495-Plumbing (water heater) CITY OF OSHKOSH
N° 4 64 95
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG *I SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS - 7 `7 / 2 o11Yve 57( • PLAN NO.
OWNER ye1rLd Q E/q_,e
DESIGNER
USE/NATURE OF WORK /LP - Li1 O
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 WH _ Disp — WSoft _ CBasin
- Lav Sh _ DW _. DF — San. Sewer
— WC — FDr _ SP Ur Storm Sewer
— Sink — LTub _ Eject — SS _ Water
Other
FEES: Valuation $ r i J* -ermit F -.- - .. /0 � Park Dedication $
ISSUED BY Date �l Final/O.P.
In the performance of this wor - • =e to perform all work pursuant to rules governing the described construction.
SIGNATURE 1
AGENT/OWNER DATE
ADDRESS
TELEPHONE •