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HomeMy WebLinkAbout0008685-Plumbing (water heater) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 08685 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG~ SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - OWNER 5;2? ~Ls~~ (j. I-/~ ~ PLAN NO. ADDRESS USE/NATURE OF WORK tfi>/a/t/Y" / ~~ / DESIGNER BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Consr 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 S~ PU~ _BT ~WH _Disp _Sink _FOr _ L Tub _OW _SP _ WSoft _OF _ CBasin _Lav _Sh _ San. Sewer _WC _Ur _ Storm Sewer _ Eject _SS _ Water Other FEES: Valuation $ ~ ot. ISSUED BY ;;;rC4 ---617-:>/ / .,..--~ VI Permit Fee Paid $ ~ 4- Date t'" ~ I'f-, Park Dedication $ Final/O.P. In the performar:!?~._Qf this work I agree to perform all work pursuant to rules governing the described construction. c--- . SIGNATURE - ~ ,#'7 AGENT/OWNER ADDRESS TELEPHONE #