HomeMy WebLinkAbout001825 - Plumbing (water heater) CITY OF OSHKOSH N2 01825
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG IA- SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS • /� /�7 T /4 �`z-;"c �. PLAN NO.
OWNER Ali ,c`.-e,s,' L ,c.._
DESIGNER
USE/NATURE OF WORK i-'c,,! c- ,; - s /p�
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 /4;,/L1;
BT /WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
u�. --OZ.-.
FEES: Valuation $ fi�r' • P it Fee Paid $ / ' ,`- Park Dedication $
ISSUED BY .05 ?-!_! Date /O '� ! Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE „si g/ 1fl '1•{-r: 1/-" /J< /6/3e/d�f6_
AGENT,' NER DA E
ADDRESS
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