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HomeMy WebLinkAbout0039963-Plumbing (water heater) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N!! v/ 39963 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - . - - ADDRESS /5,3l OWNER OrS()n DESIGNER 131':smOr)~ AVe"noe J wiL\nfeJ PLAN NO. l Uo.tr \\eo. ~r USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Stories Height Occupancy Permit # Rooms 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 Fixtures Type Volts _ Amps_ Circuits Switches Receptacles PLUMBING CONTRACTOR E:nmffiO'{L<) JLWH _BT _Lav _WC _Sink Other ~ _Disp _ WSoft _OF _ CBasin _ San. Sewer _ Storm Sewer _Sh _FOr _ L Tub _OW _SP _Ur _ Water _SS _ Eject J JlV'\, 00 FEES: Valuation $ ~ ~ / 10 00 /' Permit Fee Paid $ . Date ~//;;/7Y /. / ISSUED BY Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ADDRESS \ TELEPHONE # DATE