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0007106-Plumbing (water heater)
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 07106 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG~ SIGN 0 ZONING FLOOD PLAIN HEIGHT -.. -- --.... --- - -- -.. --......-.. -- -.... --- -...... --.. --.. --.......... --.. --.. -......-.. --..- --.... OWNER /;?_:SO dUrd//I C~ rJO J; YI /101/0 r+ PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK ~rr4c~ 4/~~~ /e6?C 4t- Ic..'.," 1 . BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit I Foundation Class of Const. . . .... ", ..,......,.....,.,.. I HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss, BTU'S ELECTRIC CONTRACTOR ..I Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR cYt~ Y>1 t?Y'.J _ BT -.L WH _ Disp _ WSoft _ CBasin _Sink _FDr _LTub _DW _SP ~'DF _ San. Sewer _Lav _Sh _WC _Ur _ Storm Sewer _ Eject _SS _ Water Other FEES: Valuation $ ,:s ~~ ISSUED BY ~~~/ / Permit Fee Paid $S~ 'y/ Date ~ ~74=-R' Park Dedication $ Final/O.P. I. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNAT~ ~ f :s: , ---~ ~:;-kJ" AGENT/OWNER ADDRESS TELEPHONE #