Loading...
HomeMy WebLinkAbout0028715-Plumbing (water heater) /� CITY OF OSHKOSH N° 28715 `' PERMIT - APPLICATION AND RECORD . TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �s �J�'� �JCI-C-�t4-cr� PLAN NO. OWNER_ ��1.i,� ��intie/L DESIGNER USE/NATURE OF WORK I�� �-���7 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 ���'x-�rYL'�'�'�c�'v� � —BT �WH Disp —WSoft —CBasin —Lav Sh DW —DF San. Sewer —WC FDr _SP Ur Storm Sewer —Sink LTub —Eject SS —Water Other : FEES: Valuation $ � �� �s Permit Fee Paid $ ��� ��� Park Dedication $ ISSUED BY �',J,�`— Date � a � � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � AGE T/OWNER OATE ADDRESS TELEPHONE#