HomeMy WebLinkAbout0011984-Plumbing (water heater) CITY OF OSHKOSH No 11964
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /L 74 S L2/ea-A. PLAN NO.
OWNER )9Y- a/. 4,,....
DESIGNER
USE /NATURE OF WORK �44 C'`e
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 t._�c--
BT 4 WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation 3 Permit Fee Paid Park Dedication
ISSUED BY --s- ---r�� Date '..4 4 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
4
AGENT /OW DATE
ADDRESS
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