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HomeMy WebLinkAbout1994-Plumbing (water heater) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~II 38617 ~ N2 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG,11 SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - -. - - -. - - -. - - - - - - -. - - -. - - -- - - - -. - - - - - - - - -. - - - - -. - - - - -. ADDRESS /~ /~ 1"r:{ /rla ~ /-J) 11 w PLAN NO. OWNER DESIGNER USE/NATURE OF WORK rrtnf -" I /{JH BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type- Volts- Amps- Fixtures Switches Receptacies Circuits PLUMBING CONTRACTOR (j~ - BT --1 WH - Disp _OW _Lav _Sh _WC _FOr _Sink - LTub Other FEES: Valuation $ W{). 61)/ ISSUED BY j/j/ \ _WSoft _OF - CBasin - San. Sewer ¥ -SP _Eject -Ur _Storm Sewer -S8 _Water Permit Fee Paid $ Date Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE /!) ,n~ ~ AGENT/OWNER DATE ADDRESS TELEPHONE #