HomeMy WebLinkAbout0011808-Plumbing (water heater) CITY OF OSHKOSH No 11808
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 321 a/fA PLAN NO.
OWNER doc. -- 'ek_ ‘4-
DESIGNER
USE /NATURE OF WORK _ - - _. A '' / Z f'e
I' -
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat p 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 147G--Z
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
cm
Z
FEES: Valuation $ ermit Fee Paid $- Park Dedication $
ISSUED BY Date /- /V Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 04. : :�
AGENT /OWNER DATE
ADDRESS
TELEPHONE #