HomeMy WebLinkAbout0002067-Plumbing (water heater) CITY OF OSHKOSH N o 02
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG j- SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 '6 /Y/-r--c PLAN NO.
3
OWNER ./ a,r- e L
DESIGNER
USE /NATURE OF WORK /57 <G�...e e ez.rQ ' ; ,{
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 ,4Y141-"Iter2rt- ,
_____BT i r WH Disp WSoft CBasin
— Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
— Sink LTub Eject SS Water
Other err— I
FEES: Valuation $ 3 JO Permit Fee Paid $ 5-7 '7 Park Dedication $
ISSUED BY C
���® �'L/��zr Date /l /r fr Final /O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 49(...7 tY \ .A v1/4.,-vti
AGENT /OWNS DATE
ADDRESS
TELEPHONE #