HomeMy WebLinkAbout1986-Plumbing (water heater) CITY OF OSHKOSH N2 00673
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG jgz SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 70- c
l PLAN NO.
OWNER /-'4 I
DESIGNER
USE /NATURE OF WORK J L{/
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 P Circuits
PLUMBING CONTRACTOR /% 4 � -4 - S ,5i�
— BT WH — Disp �� o ft
CBasin
— Lav — Sh _ DW _ DF San. Sewer
__WC _ FDr SP Ur Storm Sewer
__Sink LTub — Eject SS
Other Water
FEES: Valuation $ 1� �.-
II 11 - rmit Fee Paid $ J� Park Dedication $
ISSUED BY r .4MIIIKiII:. Inw, Date .7 (-
Final /O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
/
SIGNATU'i .,.- /� _ . a ` _, —
A N e f ER
DATE
ADDRESS
TELEPHONE #