HomeMy WebLinkAbout0007814-Plumbing (water heater) CITY OF OSHKOSH N2 07814
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONI G FLOOD PLAIN HEIGHT
ADDRESS /6/Y PVeL PLAN NO.
OWNER JCL /. //I Pli1
DESIGNER
USE /NATURE OF WORK < /- " `'`mot 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 _ ANcti` -
- BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
- WC FDr SP Ur Storm Sewer
- Sink LTub Eject SS Water
Other
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FEES: Valuation $ 02% 0 Permit Fee Paid $ Park Dedication $
ISSUED BY 14.11■ Date Final /O.P.
In the performance of this -ork I a. -e to p-/ 0 ' ork pursuant to rules governing the described construction.
/ ,
SIGNATUR - r _
AGENT /OWNER DATE
ADDRESS
TELEPHONE #