HomeMy WebLinkAbout0025211-Plumbing (water heater)
~
CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
25211
TYPE:
BLDG D HTG D ELEC D PLBG CX1 SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
/ 10 '3. ~~~ tnad'~
PLAN NO.
OWNER
F: d -rh lh"Y") ,';) SOh
DESIGNER
USE/NATURE OF WORK
.~ ~~~ V-.-J H
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 SC\W\mo..... \5 PILLWioI:l: 1')1 ()~~hkD~h Tnr
_ BT l WH _ Disp _ WSoft _ CBasin
wI==-
_Lav
_Sh
_DW
_SP
_DF
_ San. Sewer
_WC
_FDr
_Ur
_ Storm Sewer
_Sink
Other
_ L Tub
_ Eject
_SS
_ Water
ISSUED BY
S- J7. OC> Per.rnit Fee Paid $
W ~--- Date
/0. 00
7-'7--'7/
Park Dedication $
Final/O.P.
FEES: Valuation $
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
...--
c3
SIGNATURE
j~~~
DATE
ADDRESS
"-, ------.,1..
TELEPHONE #
II>