HomeMy WebLinkAbout0011862-Plumbing (water heater) CITY OF OSHKOSH N2 11862
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG 7f, SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ' -70 ' ^ PLAN NO.
OWNER ,c("/ V
DESIGNER
USE /NATURE OF WORK / --_ , .1... -- "Or 4 ---
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
____2 =e_er,„fizzli,......
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
_WC FDr SP Ur Storm Sewer
Sink LTub Eject _SS Water
Other
FEES: Valuation $ %v U Permit Fee Paid $ 5 -7E3 Park Dedication $
ISSUED BY g� Date /-4 --- -- 1 .7 - cre Final /O.P.
In the performance of this work I agre; to perform all work pursuant to rules governing the described construction.
SIGNATURE .t 1 5-4' w I, -
AGENT /OWNER DATE
ADDRESS
TELEPHONE #