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HomeMy WebLinkAbout0035263-Plumbing (water heater) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 VI[ 35263 :~P_E~ _ _ ~L~~ _~ _ ~T? _ C? _ ~~E~ _ C? _ ~~B~ ~ _ ~I~~ _C? _ ~O_N~N? _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS /7&0 (J/lJl~d Donald Kand ej-. PLAN NO. OWNER DESIGNER USE/NATURE OF WORK ./'l.fpi llJfJ BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Class of Const. Height Occupancy Permit 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 _BT X WH l '5iA YI1 YYt.D n 11) _WC _Sh _FDr _LTub _Disp _DW _SP _ WSoft _DF _ CBasin ~ _Lav _ San. Sewer _Ur _ Storm Sewer _Sink Other _ Eject _SS _ Water FEES: Valuation $ ..5 .5D . &0 Permit Fee Paid $ ISSUED BY U}a-ft;vLJ (l.AfJl.1~4/ / /D~ oD./" ffr/9.3 Park Dedication $ Final/O.P. Date In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNA:E~. /V\- ~'" DATE ADDRESS TELEPHONE /I