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HomeMy WebLinkAbout0037742-Plumbing (water heater) ~ f/I 37742 N2 CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ _ ~~E~ _ ~ _ ~~B~ _~ _ ~I~~ _~ _ ~O_N~N~ _ _ __ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS /10& IV/mred (1:0 ~()4rt jj~JtRVL) PLAN NO. OWNER DESIGNER USE/NATURE OF WORK j'l..1-pft1.~J..j tf)().:VA) kfll Jl ) BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. 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 .J a.rn m.Jl..lYl4J _BT ~WH _Disp _Lav _Sh _DW _SP _ WSoft _DF _ CBasin _ San. Sewer _ Storm Sewer ~ _WC _FDr _ LTub _Ur _Sink. Other _ Eject _SS _ Water FEES:. Valuation $ ISSUED BY ~;:)o 0 00 ~ Permit Fee Paid $ Date 00 ..Ii I O. Park Dedication $ .~ 4J1iFonaI/O.p. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE DATE ADDRESS TELEPHONE #