HomeMy WebLinkAbout0012485-Plumbing (water heater) , t(' ,11 .- 0, - ) CITY OF OSHKOSH No 12485
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ja SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 52 C.l.2�G2� PLAN NO.
OWNER A - S73YcC CrL .X c�
DESIGNER
USE /NATURE OF WORK 7 IC- C (.4.16.1 _ /-ca.. 74v-c-
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 .per—
__BT ..-___WH _ Disp WSoft CBasin
_Lay _ Sh _ DW DF San. Sewer
__WC — FDr SP Ur Storm Sewer
Sink LTub _ Eject SS Water
Other
0 )
FEES: Valuation $ g1:57) Permit Fee Paid $ /0 Park Dedication $
ISSUED BY ‹-t..— — Date, 7 7 Final /O.P.
In the performan of this ork I agre p- orrm all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /. ^ R
DATE
ADDRESS
TELEPHONE #