HomeMy WebLinkAbout0003922-Plumbing (water heater)
~
CITY OF OSHKOSH N!
PERMIT - APPLICATION AND RECORD
03922
TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
;/D/;~ t~qr2- /cl~7'/~A//1 ey
72' 4 ~ ~z;;/~/~ t.-.
PLAN NO.
ADDRESS
DESIGNER
UJe~____ LLA-
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Foundation
Class of Const.
Occupancy Permit
HEATING CONTRACTOR
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New D Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT -LWH
~.:.C
_WC
_Sh
_FOr
_LTub
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
_Lav
_ San. Sewer
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
"'j1~
FEES: Valuation $ .5r C;f'
ISSUED BY ~fi.-?~
Permit Fee Paid $
Data
/
~f.a-- V
;p;~
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 ~c? N\L:==---~ ~
. ,---;"GENT/OWNER "" - . ~, DATE
ADDRESS
TELEPHONE #