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0044004-Plumbing (water heater & softner)
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD <-fll N!! 44004 TYPE: BLDG 0 HTG 0 ELECO PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - lq38 1du.tboxd A)cmo Prl Knll_; ADDRESS OWNER PLAN NO. DESIGNER USElNATURE OF WORK 'R " "I neO lJ. JCtl-e r h1> o.h> r <L j JYj 'f;~ 0 0 lJ-Ute..r fi,)l~'(\C f ~ ~ 1) BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit 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 ~ mmrrn) _BT iWH _Disp -L WSoft - CBasin C' _OF - San. Sewer _Ur - Storm Sewer -SS - Water _Lav _Sh _FOr _ L Tub _OW _SP ~ Eject _WC _Sink Other FEES: Valuation $ ISSUED BY ~f"h. CO ~-?---------- / I~IOO / Permit Fee Paid $ _ . . Date ~fi /? J;:- ( / ~ 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-"- -'-.- ------- SIGNATURE DATE ADDRESS TELEPHONE #