HomeMy WebLinkAbout0002066-Plumbing (water heater) CITY OF OSHKOSH No 02066
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG la SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS e l A / re--° PLAN NO.
OWNER 7
j u /j,°5 r_.
DESIGNER /�
USE /NATURE OF WORK ' �cc .e r c/a 4 c7C—
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
7
PLUMBING CONTRACTOR d�-- 1.-✓i. -vt Cl/C.-- #
BT / WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
f
FEES: Valuation $ 4 �� Permit Fee Paid $ —' Park Dedication $
ISSUED BY v r Date 1C / Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ?_ iii v _ 1V • ' r -- ) -.S.
AGENT /OW -
DATE
ADDRESS
TELEPHONE #