HomeMy WebLinkAbout0025692-Plumbing (water heater) CITY OF OSHKOSH N°_ 25692
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGV] SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS A, ( Monte-0e PLAN NO.
OWNER A n 11lu_e_
DESIGNER
USE /NATURE OF WORK I - riet -ca L ¢.1, it..i.ett
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 Z WH Disp WSoft CBasin W
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ 5-0) •"/ S Permit Fee Paid $ /0. 06 r Park Dedication $
ISSUED BYi-ecz-e-e`°" Date 10 —r6 2/
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
n c
SIGNATURE L " ------
AGE NER DATE
ADDRESS
TELEPHONE #