HomeMy WebLinkAbout0011520-Plumbing (water heater) CITY OF OSHKOSH No 11520
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ,ig, SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ,�?3 5 .-- i�� . ni PLAN NO.
,
OWNER 41 d/ fi.- 6(
DESIGNER Z.----. ‘,._
USE /NATURE OF WORK CIO — c- c %i ce y L
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 /! /Py—
BT WH Disp WSoft _ CBasin
Lav Sh DW DF San. Sewer
— WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
d�
FEES: Valuation $ ' Permit Fee Paid $ — Park Dedication $
ISSUED BY�_2/ o / —/-Z
? i "�� Date 2 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE X..,_ .
AGENT /OWNER DATE
ADDRESS
TELEPHONE #