Loading...
HomeMy WebLinkAbout0043209-Plumbing (water heater) ~ CITY OF OSHKOSH PERMIT - APPLICATION A.ND RECORD Y VI N!f - 43209 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG 1:( SIGN 0 ZONING FLOOD PLAIN HEIGHT ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ~ ... .. .. .. ... ... ... .. ... ... ... ... ... ... ... ... ... ... ... ... ... ... 1- "'.'" ... .. ... ... .. ... ... ... "', ... ... ... ... ... ... ... ... ... ... ... ... ... ... ADDRESS c94Ylp ~~ of CUlL OWNER .... JIj-Q. 5 fJQlJ")huu r PLAN NO. DESIGNER USE/NATURE OF WORK u. )~h( ~(itD.( BUILDING CONTRACTOR Size Sq. Ft. Foundation # Rooms ,# Stories Class of Const. I Height Occupancy Permit HEATING CONTRACTOR Heat D AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type Volts Amps_ FiXtures Switches Receptacles Circuits PLUMBING CONTRACTOR SC\ffifficTY\~ _BT -LWH _Disp _Ur _ CBasin _ San. Sewer _ Storm Sewer _ Water c!.- _WC _Sh _FDr _ L Tub _DW _SP _ WSoft _DF _Lav _Sink Other _ Eject _SS /1 I I c:n../ Permit Fee Paid $ 10, . Date t/J/7.s-- ( / Park Dedication $ FinaVO.P. FEES: Valuation $ 4(x),CD ~ ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGN::; \ =s: ~ ~ .~"'= DATE ADDRESS TELEPHONe: #