HomeMy WebLinkAbout000798 - Plumbing (water heater) CITY OF OSHKOSH N2 00798
l PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG [SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS f( of J 11 t' 1 17 L■ PLAN NO.
OWNER /C.—ea-44_ lP G'741 .Y-C-&-∎
DESIGNER
USE/NATURE OF WORK r,Zce r /-tea /Lca �
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 c ,oz---yi s4,-Z471--4
BT L WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
Permit Fee Paid ✓ env / Park Dedication $
FEES: Valuation $ ..3/S -._ Perm $
ISSUED BY j� Date / ` /...fr Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE (�
AGENTOWNER \VISA' DATE
N.
ADDRESS
TELEPHONE#