HomeMy WebLinkAbout1994-Plumbing (water heater) Y77
/CITY OF OSHKOSH N ° - 37718
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG kr SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 92,3 fie C/1dtt) PLAN NO.
OWNER /I2n2. 74; n
DESIGNER
USE /NATURE OF WORK )O .C►a 1 11)
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 ,..k10-47012,11/49
BT / WH Disp WSoft CBasin —--
Lav _ Sh DW OF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ 5v. 00
Permit Fee Paid $ JG• 00 V Park Dedication $
ISSUED BY Date 4 Atoll Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE V V.--
AGENT /OWNER - DATE
ADDRESS
TELEPHONE #