HomeMy WebLinkAbout011932 - Plumbing (water heater) 1
CITY OF OSHKOSH N9 11932
PERMIT - APPLICATION: AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING'', FLOOD PLAIN HEIGHT
ADDRESS e (-)/2 / ,f(leilrG? �.--- PLAN NO.
OWNER .Z.-CLe(s �/C e
DESIGNER
USE/NATURE OF WORK . C' L /e% '�Lt. z....-
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 Q'�
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ ,.,,W Permit Fee Paid $ Park Dedication $
ISSUED BY � ? Date / O - Final/O.P.
..0 —
In the performance this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE C-��C -
AGENT/OWNER DATE
ADDRESS
TELEPHONE#