HomeMy WebLinkAbout0048380-Plumibng (water heater) yl 1
CITY OF OSHKOSH N ° - 48380
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ( SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1365 finre 10_114 PLAN NO.
OWNER Ida 10 11 u ). P,
DESIGNER
USE /NATURE OF WORK ( Iec . (0+r. H -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 Rasmussen PLb .
BT _L WH Disp J WSoft CBasin
Lav Sh — DW — DF
—San. Sewer
WC — FDr — SP — Ur Storm Sewer
Sink LTub Eject SS — Water
Other
J
FEES: Valuation $ &l) Permit Fee Paid $ ( Park Dedication $
ISSUED BY Date //---2- Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #