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HomeMy WebLinkAbout0041934-Plumbing (water heater) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD 41 I Ng-41934 TYPE: BLDG 0 HTG D ELEC 0 PLBG b( SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS (90UL-Hu.d~ ~~l_ W iido PLAN NO. OWNER DESIGNER USE/NATURE OF WORK (,LXLW _ mmr BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Class of Const.. Height Occupancy Permit HEATING CONTRACTOR Heat 0 AlC 0 Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New D Change D Temp D Type _ Volts Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR f)Q,ffirf\6D5 _ BT 1.. WH _ Disp _Lav _Sh _FDr _ L Tub _DW _SP _ WSoft _DF _ CBasin ~ _WC _Ur _ San. Sewer _ Storm Sewer _ Water _Sink Other _ Eject _SS ISSUED BY LJti),ro /~~~ J Permit Fee Paid $ 10 I DO I Date C~8~ ~- ~ /' f Park Dedication $ Final/O.P. FEES: Valuation $ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. <....... ...(~ "- AGENT/OWNER SIGNATURE DATE ADDRESS TELEPHONE #