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Home My WebLink About0040278-Plumbing (water heater) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ;/// N~ 40278 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG~' SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS~, 1.0 OWNER~QO(1f DESIGNER _)4o_x"'~ ~d }\ 0 f(l rr) PLAN NO. USE/NATURE OF WORK WM- iC X\~ cili.r 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_ Circuits Fixtures Switches Receptacles PLUMBING CONTRACTOR S o..f'(\(\i'f'flan5 _ BT ---X WH _ Disp _Lav _Sh _FDr _ L Tub _DW _SP _ WSoft _DF _ CBasin ~~ _WC _Ur _ San. Sewer _ Storm Sewer _ Water _Sink Other _ Eject _SS / FEES: Valuation $ ,3f:j)100 ----Permit Fee Paid $ lD,OO j ISSUED BY ~~ Date-.:J-J-qLj Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. C"~ DATE SIGNATURE ADDRESS TELEPHONE # """-