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Home My WebLink About0025615-Plumbing (2 water heater) ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 25615 ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ _ E? _ ~~B~ ~ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ OWNER / 3ft, ,{)/~A441lIL B~M/4Je'lG PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK ~.~.~ U--l~V fug~~F'5" 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 _Lav _Sh '-./' /J1~y~/ _Disp _DW _SP _ WSoft _DF _ CBasin _ San. Sewer wI=- PLUMBING CONTRACTOR _BT ~H _WC _FDr _ L Tub _Ur _ Storm Sewer _Sink Other _ Eject _SS _ Water FEES: Valuation $ 76J d c>O "'permit Fee Paid $ W~-e:;~~ (/) u-<:>. ;/ ISSUED BY Date tfO -... e-. ',-- >.-=- >/ Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ('-U. SIGNATURE ~ e~. AG fOWNER Cb/Y!?/ . DATE ADDRESS TELEPHONE #