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Home My WebLink About0029281-Plumbing (water heater) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 29281 ~~~E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ _ C? _ ~~B~ ~I~~ _~ _ ~O_N~N_G _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS /?y~ /;/~ PLAN NO. OWNER R ~ ..s. .~ DESIGNER t$~ wtf (J 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 Electric Servo New 0 Change 0 Temp 0 Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ~ S ~ _BT ~WH _DiSp. _WSoft _ CBasin rsr:l-. _Lav _Sh _DW _SP _DF _ San. Sewer _WC _FDr _LTub _Ur _ Storm Sewer _Sink Other _ Eject _SS _ Water FEES: Valuation $ ~9o, 0 0 b2J.- Permit Fee Paid $ Date Park Dedication $ Final/O.P. ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~t* 0/ I . AGENT/OWNER DATE ADDRESS TELEPHONE #