HomeMy WebLinkAbout0038355-Plumbing (water heater) � //
/� CITY OF OSHKOSH N°- 38355
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT �
ADDRESS_�l�� �• /UC� �Ul`'�� PLAN NO.
OWNER (�+Q�� /1 /�/�'1 /'1(<(/�P�
DESIGNER
USE/NATURE OF WORK��G� �,�tJ/I
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 �D�I�P,r
—BT �WH _Disp —WSoft _CBasin �/
—Lav —Sh _DW _DF —San. Sewer
—WC _FDr —SP _Ur _Storm Sewer
—Sink _LTub _Eject —SS _Water
Other
/J uo
FEES: Valuation $ -r��' Permit Fee Paid $ ��'� U Park Dedication $
ISSUED BY Date _3–�� / � Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER DATE
ADDRESS
TELEPHONE N .