HomeMy WebLinkAbout035272 - Plumbing (water heater) 1
CITY OF OSHKOSH N° 35272
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ] SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /g,'1^d nit i ei'/' A PLAN NO.
OWNER /,LI//i 2/'Zi 1'///i- 41
DESIGNER / �,(
USE/NATURE OF WORK A pi/ 1N! / r
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR S2 11161,01--C
BT X WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
347/6 C C j CrC
FEES: Valuation $ ' / Permit Fee Paid $ 1O Park Dedication $
ISSUED BY t � ( � i -d Date ' / ') Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
A -ENT/OWNER DATE
ADDRESS
TELEPHONE#