HomeMy WebLinkAbout0015353-Plumbing (water heater) CITY OF OSHKOSH N°_ 15353
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS L ?5 (t./( e) PLAN NO.
OWNER J Ti
DESIGNER / ,
USE /NATURE OF WORK (..< /c?„ 4_ .4 eZ 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 7.4„.4S 9 t —"-_
BT / WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ 5Z c'v / O✓ Permit Fee Paid $ l 0 ) " Park Dedication $
ISSUED BY ;� ?. c'�►7J >' Date ,( — .3/ ", Final /O.P.
In the performan of this wor I r to perform all work pursuant to rules governing the described construction.
I
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE #