HomeMy WebLinkAbout0008060-Plumbing (water heater) CITY OF OSHKOSH N2 08060
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGJ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 9.(." (� 71 r r PLAN NO.
OWNER C 7)/c(vZ.
DESIGNER
USE /NATURE OF WORK /2 it
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 At f /
BT 4 WH i sp WSoft
CBasin
Lav _ Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS
Water
Other
15"-- ./ F EES: Valuation $
Permit Fee Paid $ : - Park Dedication $
ISSUED BY 4- 4-- Date Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1 — P/ l-ay /�Q,•/
A GENT /OWNER
DATE
ADDRESS
TELEPHONE #