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0007148-Plumbing (water heater)
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 07148 TYPE: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- BLDG 0 HTG 0 ELEC 0 PLBG~ SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- OWNER 22c( & ~// 7/1 T ~~C->,-/. 6/;ÁÁ~F'" PLAN NO. ADDRESS DESIGNER fi/~rr- rY/"~ I- USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height , Occupancy Permit Foundation Class of Canst. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type- Volts- Amps- Fixtures Switches Receptacles Circuits -- ~ PLUMBING CONTRACTOR C ~/1....n.v7l'd?~ - BT --.L WH - Disp _Sink _FDr _LTub _DW _SP _WSoft _DF - CBasin _Lav _Sh - San. Sewer _Eject _SS - Storm Sewer _Water _WC _Ur Other :::~;:::'"'" . ~/"". "" ,., o:.s~ Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. "G~;c" ~ 15-- .. ~-<= ~~ AGENT/OWNER DATE ADDRESS .fPf/ TELEPHONE #