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HomeMy WebLinkAbout0025205-Plumbing (water heater) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 25205 TYPE: BLOG D HTG D ELEC D PLBG IZI SIGN D ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ADDRESS 'S'"/ì f)o. iti ù1: 'l PLAN NO. OWNER Q,Qn(J1/i(JVQ tn"hlmdY) DESIGNER R~ c,..J 1'1 USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat D AlC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New D Change D Temp D Type- Volts- Amps- Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR So-.,.,..""""","" PI", Mbtn5 05J..Kn-,J.. - BT --X.. WH - Disp - WSoft :L "'(' - CBasin t.-..JJc -Lav _Sh _DW _DF -SP _Ur _Eject -SS - San. Sewer _WC _FDr -Storm Sewer _Sink Other - LTub _Water FEES: Valuation $ ISSUED BY ~ 8 I . '-I'" Permit Fee Paid $ ~..J ør-4...-R~ Date /0. Or, /-¿;'-'7/ 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 ~ '~.~c DATE ADDRESS TELEPHONE #