HomeMy WebLinkAbout0008663-Plumbing (water heater)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
08663
TYPE:
BLDG 0 HTG 0 ELEC 0 PLBG~ SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
--.... -- --- ----- --- ..-- -- --........ -- -- --- -- --- -- -- ..-- -- --... --......-.. -- -- -----
ADDRESS
/306 /.i/5~A/~
J) ~~</II~_
PLAN NO.
OWNER
DESIGNER
C~/4-~- L.~-/c--
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 -----"'H _ Disp
_ WSoft
_ CBasin
~Lav
_Sh
_OW
_SP
_OF
_ San. Sewer
_WC
_FOr
_ L Tub
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
/
FEES, Valuation ~ _" Pe,mlt Fee Paid $ (~_./'
ISSUED BY / ~. Date -6~O/~'
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATU~~vV\l ~ --- ~
l:f~ AGENT/OWNER -f' OAT
ADDRESS
TELEPHONE #