HomeMy WebLinkAbout1991-Plumbing (water heater)n CITY OF OSHKOSH N°_ 26495
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ® SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS `/O S YYIa ~ ,' p n,o~ PLAN NO.
OWNER r ~
DESIGNER
USE/NATURE OF WORK LI~AI-rtr ~'1¢ne}-Qr-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # 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
PLUMBING CONTRACTOR
- BT --~ WH
- Lav ._ Sh
- WC - FDr
- Sink _ LTub
Other
Heat Loss BTU'S
Volts Amps
Circuits
- Disp
- DW
- SP
-Eject
- WSoft
- DF
- Ur
- SS
- CBasin
-San. Sewer_
-Storm Sewer
-Water
W
FEES: Valuation $ 3 70- ~1 S Permit Fee Paid $ /O. 0 n
~ ~ /~ Park Dedication $
ISSUED BY - ~ ~~~~-~--~~~ Date / ~ '- ~ - !~/
Final/O. P.
In the pertormance of this work I agree t rform all work pursuant to rules governing the described construction
SIGNATURE
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #