HomeMy WebLinkAbout0007178-Plumbing (water heater) CITY OF OSHKOSH N° 07178
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG OZ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS A2-2.2._ i' ?7!0-t PLAN NO.
OWNER (7-
,a, -v;s
DESIGNER
USE /NATURE OF WORK /"C 4r J
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 C-5a 9
BT 1_ WH Disp WSoft
CBasin
- Lav Sh DW DF San. Sewer
— WC FDr SP Ur Storm Sewer
Sink _ LTub Eject SS
Water
Other
/ -
FEES: Val - `_ �—
Valuation $ Permit Fee Paid $ Park Dedication $
ISSUED BY —.1—.6► ∎, Date q ��,,�
i °? �LA' Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE - _ I - /V - 0.-
AGENT /OWNER `.. . 4.
•.TE
ADDRESS
TELEPHONE #