HomeMy WebLinkAbout0016286-Plumbing (water heater) CITY OF OSHKOSH N° 16286
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG xr SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2 /067,7 '7 !t /#(.- A PLAN NO.
OWNER C / Am. /1 Ch..,. ---
DESIGNER
USE /NATURE OF WORK /2- C
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 s 3-7 ,.-0--?1f7-"f--i
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
7 va / 0.0 t../.1 FEES: Valuation $ c )C10 Permit Fee Paid $ ! 6 Park Dedication $
ISSUED BY 7( Date // — f'Y Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE v"
AGEN DATE
ADDRESS
TELEPHONE #