HomeMy WebLinkAbout0000788-Plumbing (water heater)
~
CITY OF OSHKOSH N!
PERMIT -APPLICATION AND RECORD
00788
TYPE:
BLDG D HTG D ELEC D PLBG $,-SIGN D ZONING
FLOOD PLAIN
HEIGHT
DESIGNER
~' ~
?3 . ".rM <
6t~ ~Z. 7-
r__~/L ~-h~__
PLAN NO.
ADDRESS
OWNER
USE/NATURE OF WORK
. t7~ak~-("
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 ...S~ rn.,.{)/t..f
_ BT -t- WH _ Disp
_ WSoft
_ CBasin
_Sink
Other
_FDr
_ L Tub
_DW
_SP
_DF
_ San. Sewer
_Lav
_Sh
_WC
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water
FEES, Valuation ~ . Pe,mlt Fee Paid $
ISSUED BY ~ Date
)
:$7d,Z> a('
gv/~
Park Dedication $
Final/O.P.
In the pertocmc:e~o'k I are ~ perto~~2'k_.:u"uant to rules govemlng the descrtbed construction
SIGNATURE '<:' ..), ~ \ ,~ -=:::::, ~:\A.A.A-v ~
\ AGENT/OWNER '" f
DATE
ADDRESS
TELEPHONE #