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Home My WebLink About0005274-Plumbing (water heater) .~-~',",,~"^-- ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 05274 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG QS... SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - .. - - - .. - - .. - - .. - - .. - - .. - .. .. - - .. .. - - - - .. '- - ... - .. - .. - - - - - .. - .. .. - - .. - - .. .. - .. - .. ADDRESS /qalF- If II" , ha~/ S?'-/'~4/1~) ~e 4-, PLAN NO. OWNER DESIGNER re;-O 4 (' -e L'/fZ~ ),~P(,tA- USE/NATURE OF WORK 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 ,....,."1./ Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR A//l&ro'j' (0eq-v--J _BT -LWH _Sh ___ Disp _ WSoft _DF _ CBasin _Lav _WC _FDr _ L Tub _DW _SP _ San. Sewer _Ur - Storm Sewer _Sink Other _ Eject _SS _ Water 01/ L Permit Fee Pa;d $ ~t Date //~ 7 L Park Dedication $ ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE A -? V- ac;u { ~;/~~(/ .' I. AGENT/OWNER DATE ADDRESS TELEPHONE #