HomeMy WebLinkAbout0020858-Plumbing (water heater) CITY OF OSHKOSH N° 20858
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /'2/ i' /lrl7''t°4, PLAN NO.
OWNER 02-24 , !4-r (
DESIGNER
USE /NATURE OF WORK p4-CC L�/t v---- I - 4 ✓7°r�
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 _. /ii /ri .ld./
BT / WH Disp WSoft CBasin 1._,-)
_Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
orD /
FEES: Valuation $ 19„? ! ermit Fee Paid $ 0 ° Park Dedication $
ISSUED BY (' 6,: Date ./a r /7 — PO Final /O.P.
In be ormance is work I agree to perform all work pursuant to rules governing the described construction.
—......_ /0"--
SIGNATURE
AGENT /OWNER DA
ADDRESS
ELEPHONE #