HomeMy WebLinkAbout0027215-Plumbing (water heater) CITY OF OSHKOSH N° 27215
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG f SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /7 / ' ( PLAN NO.
OWNER S -c.
DESIGNER
USE /NATURE OF WORK (� f+
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 J " / _ -
BT _L W D WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ 3- �0 , 0 0 _ Permit Fee Paid $ /°). ` C ' d `/ Park Dedication $
- Date ISSUED BY % ae 6 -)-'- Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE _
AGE IO ER DATE
ADDRESS
TELEPHONE #