HomeMy WebLinkAbout1992-Plumbing (water heater)
(t)
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
jL//
32094
~P_E~ - _~L~~ -~ _~T~_~- ~~E~_~- ~~B~Af- ~I~~ -~ _~O_N~N~_~- _F~~~D_~~I~~- ~~I~~T~
, Ú 1.1 J . J()O
~r=;>~--oF.-j I r;zÇ, I/VcJ---- PLAN NO.
ED G-~
ADDRESS
OWNER
DESIGNER
USE/NATURE OF WORK
~~Wd
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Ciass of Const.
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type - Volts - Amps-
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR J ~
_BT -LWH _Disp
_Lav
_Sh
_FDr
_DW
_SP
_WSoft
_DF
- CBasin
- San. Sewer
NZ--
_WC
_Ur
- Storm Sewer
_Sink
Other
_LTub
_Eject
_SS
_Water
FEES: Valuation $
ISSUED
:3 S-ð, c> 0
Permit Fee Paid $
Date
/
v'
/0 - <:> ð
(.?- /,)-.:>-/7' 2..-
I I
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform ail work pursuant to rules governing the described construction.
SIGNAT~ -
rY\. ~'
DATE
ADDRESS
TELEPHONE #
\
~---- --- -