HomeMy WebLinkAbout0044758-Plumbing (water heater)
(t)
y//
N~ 44758
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ _ ~~E~ _ C? _ ~~B~ #. ~I~~ _~ _ ~O_N ~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _
II/~~S/
~
I ~~ /1/#
ADDRESS
,;L III
O~
OWNER
DESIGNER
USE/NATURE OF WORK
PLAN NO.
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo New 0 Change 0 Temp 0
Fixtures
Switches
Type _ Volts _ Amps_
Receptacles
Circuits
PLUMBING CONTRACTOR
T _(WH
_B
_Lav
_Sh
_FDr
_ L Tub
_WC
_Sink
Other
G-~9-
_Disp
_DW
_SP
_ Eject
_ CBasin
~
_ WSoft
_DF
_ San. Sewer
_ Storm Sewer
_ Water
_Ur
_SS
FEES: Valuation $ V 36-:- d 0
~-------
,
ISSUED BY
Permit Fee Paid $
Date
j/
/0,0'5/'
<5/ ~h' 5---
/ /
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-&J~ LA
ADDRESS {s:2l, ~v..Joets
b..-1C ~ C\A'Zci XVC r
AGENT/OWNER
eft OJ~kl/ us StlC(t)f
~ 1-:2fctS'
. DATE
?.3J-V7Y~
TELEPHONE #