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0034971-Plumbing (water heater)
ct) y~ 34971 CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N~ TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ß'( SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- OWNER rJ(XW 4Z</- PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK ~""'~C(' /Á/,q;k~ ~P~.h--./ BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Canst. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo Fixtures New 0 Change 0 Temp 0 Type- Volts- Amps- Switches Receptacles Circuits PLUMBING CONTRACTOR £~'1-/~~/'V'A/~5i/ - BT -I- WH - Disp - WSoft l1/¡¡ðf?A- pi" - CBasin ~ _Lav -Sh _FDr _DW _SP _DF' - San. Sewer _WC _Ur _Storm Sewer _Sink Other LTub _Eject _SS _Water FEES: Valuation $9 () IV"-- ISSUED BY ~/Z./Á~ 7 / >( Permit Fee Paid $IO~ . Date 7//t' #3 , , 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 ;/ R ~ If ~ AGENT/OWNER 7-/1!: -9.7 / DATE ADDRESS TELEPHONE #