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0011995-Plumbing (water heater)
(t) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 11995 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- BLDG D HTG D ELEC D PLBG ø SIGN D ZONING - FLOOD PLAIN- HEIGHT- TYPE: OWNER :;?/4 h<c/n ~¡ Þ,;.--t? n/- k/.;r!. PLAN NO. ADDRESS DESIGNER ~rhr'L ( -(/(7'¡'V- Á~/?- i", USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Ciass 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 )~'¿<1S;-/-" _BT -LWH _Disp _Lav _Sh _OW _SP _WSoft _OF _CBasin - San. Sewer _Sink _Eject _SS _Storm Sewer _Water _WC _FOr - LTub _Ur Other ~::~~::~ation ~~/~/ Permit Fee paidD:te ~~9-Rff :::i/~e:.ication $ '".. ",-~".. 77~.to . / work pursuant to rules governing the described construction. SIGNATURE vi- ;ç~L AGENT/OWNER DATE ADDRESS TELEPHONE #