HomeMy WebLinkAbout1987-Plumbing (water heater)/~ CITY OF OSHKOSH No 02573
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~~ ~~~~~ lOllel~, PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK /"1fi? ~ G r Z:G~zcll'7~ !~. ,
BUILDING CONTRACTOR
Size
Foundation
# Rooms # Stories
Class of Const.
Height .
Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ~~,~
BT ~ WH Disp
Lav Sh -DW
- WC _ FDr _ SP
- Sink LTub -Eject
Other
WSoft
- DF
Ur
SS
FEES: Valuation $~~ ~ Permit ,Fee Paid $ Park Dedication $
ISSUED BY ~~ Date ~ Final/O.P.
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNA
DATE
ADDRESS
Sq. Ft
CBasin
-San. Sewer_
-Storm Sewer
Water
TELEPHONE #