HomeMy WebLinkAbout0017689-Plumbing (water heater) CITY OF OSHKOSH N°_ 17689
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /930 6(1A1/4 �G /r L. PLAN NO.
OWNER ,4L/GC SSOZ.rJ
DESIGNER
USE /NATURE OF WORK C
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 C�.c40407/'2.?Al/I4
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
e'73 oa
FEES: Valuation 5- 10.2 Permit Fee Paid Park Dedication
ISSUED BY ���p Date /--'2 pd Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE .4."."" P 411111111. .1/.2.4,94
AGENT /OWNER DATE
ADDRESS
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