HomeMy WebLinkAbout1991-Plumbing (water heater) CITY OF OSHKOSH N° 24398
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 3 a PLAN NO.
OWNER Q-•t/. e_z_21t____Z_e_a_______
DESIGNER /
USE /NATURE OF WORK ` _-.`/
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 Z
- 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 $ 1`` ��' 8 Permit Fee Paid $ ��' Q 0 Park Dedication $
ISSUED BY Date 7 - - 9/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE e,
AGENT /OWNER Ir E
ADDRESS
TELEPHONE #