HomeMy WebLinkAbout0015016-Plumbing (water heater)
CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
15016
TYPE: BLDG D HTG D ELEC D PLBG l2? SIGN D ZONING
FLOOD PLAIN
HEIGHT
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OWNER
/I/? ?;c~r/~
A~~I /JO-?J la~<JP~.
PLAN NO.
ADDRESS
DESIGNER
U/q;,~~ LC7/L
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class 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
_BT -I-WH
V#Ck4~
_Disp
_ WSoft
_ CBasin
_WC
_FDr
_LTub
_Ur
_ San. Sewer
_ Storm Sewer
_Lav
_Sh
_DW
_SP
_DF
_Sink
Other
_ Eject
_SS
_ Water
FEES: Valuation $ __3 tJ7J en?
ISSUED BY ~-C~
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE oL~ ~4::.
GENT/OWNER
DATE
ADDRESS
TELEPHONE #