HomeMy WebLinkAbout0009624-Plumbing (water heater) CITY OF OSHKOSH No 09624
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ,r SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ,,2c V PLAN NO.
OWNER .-...--: ,_.&CIL Z.--6/e rX 17."
DESIGNER
USE /NATURE OF WORK (EJCC ,/.2.-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR co�'�
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
7
FEES: Valuation $ j S Permit Fee Paid $ 5 1232 Park Dedication $
ISSUED BY ��.) Date C� , 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 #