HomeMy WebLinkAbout0017306-Plumbing (water heater) � CITY OF OSHKOSH N°_ 17306
` PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLB '� IGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 7 � «/ ��_�6�.—�� PLAN NO.
OWNER ��'i Un /� �D i�4.D�
DESIGNER
USE/NATURE OF WORK {��'�C�r � L��"�' �����
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 �ti�'' �"� � /��g �
—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 $ Permit Fee Paid $�`�� Park Dedication $ :
ISSUED BY Date.,�-.�,� �`�� Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
,
SIGNATURE �--
� AGENT/ DATE
ADDRESS
TELEPHONE# ,