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0030491-Plumbing (water heater)
~ CITY OF OSHKOSH N~ 30491 PERMIT - APPLICATION AND RECORD TYPE: BLDG 0 HTG 0 ELEC 0 PLBG W SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -. - - - - - - - - :/- - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS rt Y:;2- 8 ~ PLAN NO. ~ ~ ~ )f/If OWNER L~ DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT iWH 7-~ - Disp _ WSoft _ CBasin 1?-- _Lav _Sh _DW _SP _DF _ San. Sewer _WC _FDr _ L Tub _Ur _ Storm Sewer _Sink Other _ Eject _SS _ Water FEES: Valuation $ VS-C.c) 0 ~ Permit Fee Paid $ Date /0.0'0 Park Dedication $ Final/O.P. ISSUED BY g--3/-72- In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE o~ ?-C AGENT/OWNER ~~92 - ADDRESS TELEPHONE #