HomeMy WebLinkAbout0012276-Plumbing (water heater) (4) CITY OF OSHKOSH No 12276
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG (K SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 7/1 /4r>") / ° PLAN NO.
OWNER ;:7 44/ Au 1.-c°�
DESIGNER // 1
USE /NATURE OF WORK ""e Gr L C LiliG�,- 1 -i - A eGt-.
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 ( /, e9-2—
- 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 $ '� �
b Permit Fee Paid $ , — Park Dedication $
ISSUED BY Date — 2-- -- cP7 Final /O.P.
In the performance o 'this work 1 agree to perform all work pursuant to rules governing the described construction.
I
SIGNATURE /C' t •
AGENT /OWNER DATE
ADDRESS
TELEPHONE #