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Home My WebLink About0002571-Plumbing (water heater) --.._~...-.- - ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 02571 TYPE: BLDG D HTG D ELEC D PLBG ~ SIGN D ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - DESIGNER PLAf'J NO. ADDRESS OWNER ~~-<-r:- LVdh / Zc~L USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. I HEATING CONTRACTOR Heat D AlC D 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 G ~ C- _ BT -'- WH _ Disp _Sink Other _FOr _ L Tub _OW _SP _ WSoft _OF _ CBasin _Lav _Sh _ San. Sewer _WC _Ur _ Storm Sewer _ Eject _SS _ Water / ..; Park Dedication $ Final/O.P. ~:~~::~atio~~m;t.;;;.;;~:::.;f~~; In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURF~ f4- . . . AGENT/OWNER DATE ADDRESS TELEPHONE # t