HomeMy WebLinkAbout1994-Plumbing (water heater) ��,� E
CITY OF OSHKOSH N°- 39925
� PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS �'�� ' �'� PLAN NO.
OWNER � ���
DESIGNER
USE/NATURE OF WORK
BUILDING CON7RACTOR
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 �-'���--� -� �- � �
_BT �WH _Disp —WSoft —CBasin /
c��;
_Lav —Sh _DW —DF —San. Sewer
_.WC _FDr _SP —Ur —Storm Sewer
—Sink —LTub —Eject —SS —Water .
Other
FEES: Valuation $ ��`� o Permit Fee Paid $ ��� � U Park Dedication $
ISSUED BY �s`�� Date �' � � Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction. '
SIGNATURE L:.C�� �� � �� �/
AGENT/OWNER DATE
ADDRESS ,- �J � �Sc�- �/1 � ,���-1��� :
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