HomeMy WebLinkAbout1987-Plumbing (water heater)CITY OF OSHKOSH N° 05633
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ~ ~ PLAN NO.
OWNER //r•,~-_~,., „ ~,r-v~ .,
DESIGNER
USE/NATURE OF WORK-- /'e/~J/~'~ r,.~ ~i-._ ~ _L
BUILDING CONTRACTOR
Size Sq. Ft,
Foundation
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
# Rooms # Stories
Class of Const.
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
Heat Loss
Volts Amps
- Circuits
BTU'S
PLUMBING CONTRACTOR ~
- BT r WH
- Lav - Sh
- WC - FDr
-Sink - LTub
Other
- Disp
- DW
- SP
-Eject
- WSoft
- DF
- Ur
- SS
~_
FEES: Valuation $ ~J~JS d
ISSUED BY~A ~- ...., _,
- CBasin
-. San. Sewer_
-Storm Sewer
-Water
Fee Paid $ ~-
Park Dedication
Date Final/O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ ~ 1-~-
AGEN W
DATE
ADDRESS
Height .
Occupancy Permit
TELEPHONE #