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Home My WebLink About0011910-Plumbing (water heater) Ct) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N~ 119JO TYPE: BLDG 0 HTG 0 ELEC 0 PLBG Œr8IGN 0 ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ADDRESS 6 ¡ s- ~L?k~ PLAN NO. OWNER ,,4/ ¿:fe/~A-- DESIGNER USE/NATURE OF WORK ,¡f¿J't:.rf4ù £J/.Jí!;;¿ þ¿~~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Ciass of Canst. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuei/System Heat Loss BTU'S ELECTRIC CONTRACTOR Eiectric Servo New 0 Change 0 Temp 0 Type - Voits - Amps- Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR #-/¿~ - BT ---1- WH - Disp _Lav _Sh _DW _WSoft _DF - CBasin - San. Sewer _WC _FDr _LTub _SP _Ur - Storm Sewer _Sink Other _Eject _SS _Water . -.-:!¿J . .ú . ~ FEEs:valuati07~,permitFeepaid $ "iPS- . . ISSUED BY Date / ;z.-'þ.7-iíi: Park Dedication $ Finai/O.P. In the performance of this work I agree to perform ail work pursuant to rules governing the described construction. SIGNATURE -;jf{r::f? /~-1 fi-AGENT/OWNER / k-;;q-J'ð DATE ADDRESS TELEPHONE #