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Home My WebLink About0027027-Plumbing (water heater) (f) CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 27027 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- BLDG D HTG D ELEC D PLBG ø SIGN D ZONING - FLOOD PLAIN- HEIGHT- TYPE: ADDRESS ;;L.:2--;J- kJ, ¡'-I'd 4- /ß1J I ~ PLAN NO. OWNER DESIGNER USE/NATURE OF WORK R~ WH BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Canst. HEATING CONTRACTOR Heat D NC D Vent D Fuei/System Heat Loss BTU'S ELECTRIC CONTRACTOR Eiectric Servo New D Change D Temp D Type - Volts - Amps- Fixtures Switches Receptacles Circuits _WC _Sh _FDr ß ~ /J-¡f- _Disp _DW PLUMBING CONTRACTOR - BT ...L WH _Lav _WSolt _DF - CBasin - San. Sewer ~ _Sink Other _LTub _Eject _SS - Storm Sewer _Water _SP _Ur n ~ r;-y. FEES: Valuation $ "3 S-"" ,0 d Permit Fee Paid $ 2... ð - C> CO> Park Dedication $ ISSUED BY U ~ Date (- 1- :5 ~ '7 :L--- Final/O.P. In the performance of this work I agree to perform aii work pursuant to rules governing the described construction. SIGNATUR:-?~ ~ 1-d).3-9~ AGENT/OWNER DATE ADDRESS a- I ;;>-- N- M 1-1 J ..5i-. --' 7";;>ôI -00"/5 TELEPHONE.