HomeMy WebLinkAbout0012490-Plumbing (water heater) 4
CITY OF OSHKOSH No 12490
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG J SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS _ 4" _, , ..� PLAN NO.
4
OWNER lI - : i
DESIGNER
USE /NATURE OF WORK fps / 4, Lt. 94c---
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 -1--A_
BT _4. WH Disp WSoft CBasin
Lav _ Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
— Sink LTub Eject _ SS Water
Other
FEES: Valuation $ G Permit Fee Paid $ Park Dedication $
ISSUED BY Date 3 — - Final /O.P.
In the performance of thi work I a. ee t . work pursuant to rules governing the described construction.
SIGNATURE X 7
AGENT /OWNER DATE
ADDRESS
TELEPHONE #