HomeMy WebLinkAbout1994-Plumbing (water heater) 40
CITY OF OSHKOSH N° 38689
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG, SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS — /43 N • C3 I Wye h PLAN NO.
OWNER J --7 -- rho niet
DESIGNER
USE /NATURE OF WORK re Iola t.e. I va_ Pk- hea.- r
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 `./1 Pi YYIA/1_S
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 $ / 4, 0 d Permit Fee Paid $ ./O. £ t Park Dedication $
ISSUED BY f Date 9 /
J/c9 ��7'/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
�.
DATE
ADDRESS
CNN .,.
TELEPHONE #