HomeMy WebLinkAbout1992-Plumbing (water heater) CITY OF OSHKOSH N°- 27989
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG N7 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS g 3 C
PLAN NO.
OWNER
Le--
DESIGNER
USE /NATURE OF WORK J C_
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 ..
6k3 Ate—,
BT WH Disp W oft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ '- a ,o d Permit Fee Paid $ / d - o 01,---
Park Dedication $
ISSUED BY C-3 K---- Date /6 / Z-- Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
f / i
SIGNATURE .
�./ A N� DATE
ADDRESS
TELEPHONE #