HomeMy WebLinkAbout1991-Plumbing (water heater)~.
n _CITY OF OSHKOSH N°_ 25183
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG [gJ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ S ~ S mO.u, Q PLAN NO.
OWNER wiSConSin ~u.bl~~C ~a~y, fi
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft
Foundation
# Rooms
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
# Stories
Class of Const.
- Heat Loss
Volts Amps
Circuits
PLUMBING CONTRACTOR S0.m Mn rl S ," IU vtn 6 n a ~ S 17 ~CQ ~ It
- BT ~ WH Disp _ WSoft
-Lav -Sh _DW -DF
WC - FDr SP Ur
Sink LTub Eject SS
Other
CBasin
-San. Sewer_
-Storm Sewer
-Water
FEES: Valuation $ _ S !o ~/ • S"o Permit Fee Paid $ y v • c~ r> Park Dedication
ISSUED BY_~ Date ~ ' ~ ^ ~~ Final/O. P.
In the performa~ ork I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE _ ~5•t
ADDRESS
C..7
Height .
Occupancy Permit
BTU'S
AGENT/OWNER
DATE
TELEPHONE #