HomeMy WebLinkAbout1988-Plumbing (water heater)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
10720
TYPE: BLDG D HTG D ELEC D PLBG)&l SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
;/OF: /lar/le~
1l1/Ut'A_ ,~/~5/'11e fA
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK 4okcc:
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D AlC 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 &&e::~--
_ BT -.L WH _ Disp
_WC
_Ur
_ CBasin
_ San. Sewer
_ Storm Sewer
_Sink
Other
_FOr
_ L Tub
_OW
_SP
_ WSoft
_OF
_Lav
_Sh
_ Eject
_SS
_ Water
FEES: valua. tion ~:: Penn~OFee Pwd $ ~~-'-~
ISSUED BY ~~ Date 't) #.,
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
JJiCZJz
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #