HomeMy WebLinkAbout0030174-Plumbing (water heater) CITY OF OSHKOSH N°_ 30174
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 30 & 1 ?Ll / . _ PLAN NO.
OWNER U z'n cle�.,�.P }7)
DESIGNER �7 ,�,� �y �/� J
USE /NATURE OF WORK /l2 ?2b2L , (.da, L1' 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 _ —it . . >1 s. 1 , , i _'
BT 1�WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
f! WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
L //� A/ FEES: Valuation $ - 7`t J•� Permit Fee Paid $ /0. 60 Park Dedication $
ISSUED BY Date 4y/ >/,' .— Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE y 11T.1 LLQ t I ithut AL 2--t2 2
AGENT /OWNER DATE
ADDRESS \q 63 (Ind 3\ ,931-6 ()
TELEPHONE #