HomeMy WebLinkAbout1991-Plumbing (water heater)_CITY OF OSHKOSH N° 22137
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG [~` SIGN I ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ~~~~ I~~~C~2~-~-6~`' I PLAN NO.
OWNER
DESIGN
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Roomt; # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ type
Fixtures Switches Receptacles .
Heat Loss BTU'S
Volts Amps
Circuits
PLUMBING CONTRACTOR
-BT ~WH
Lav Sh
WC FDr
-Sink LTub
Disp WSoft
DW DF
SP Ur
-Eject SS
Other
- CBasin
-San. Sewer_
-Storm Sewer
-Water
>
FEES: Valuation $ ~~ • C 0 Permit Fee Paid $ f ~ ` ~ >
~' Park Dedication $
~'`
~ j
ISSUED BY_
~'/
' date ~ ~ ~~ Final/O
P
.
.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
YV
DATE
ADDRESS
TELEPHONE #