HomeMy WebLinkAbout0016930-Plumbing (water heater) CITY OF OSHKOSH N2 16930
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ig SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 56 ( (, - !0 PLAN NO.
OWNER \.).c _ 6 5 4.!/ee---P
DESIGNER
USE /NATURE OF WORK 64 / ! ! ! � - 4 " c 4 -
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 /
BT / WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
z p x Olt
FEES: Valuation $ Permit Fee Paid $ /D Park Dedication $
ISSUED BY / 7� Date / — /2 " pQ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE il ut.ria . c` i.„-., � i i j Z � ,
AGEN[ /OWNER / DATE
ADDRESS JJ
TELEPHONE #