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0015706-Plumbing (water heater)
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 15706 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG~ SIGN 0 ZONING FLOOD PLAIN HEIGHT ~~~~E~~ - - - - - - - - - - - - -~~-~, -~; ~ - - - - - - - - - - - - ~~~ ~~- - - - - - - - - - - /1d ,J' /2 u d:et- OWNER DESIGNER {,I/c( rgo 6c. <::: 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 Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits _FOr ~/cf _Disp _OW _SP PLUMBING CONTRACTOR _BT -LWH _Sh _ WSoft _OF _ CBasin _Lav _ San. Sewer _WC _Ur _ Storm Sewer _Sink Other _ L Tub _ Eject _SS _ Water Permit Fee Paid $ /0 WI J ,.,," FEES: Valuation $ ISSUED BY COeYO Park Dedication $ Date Final/O.P. In the performance of this work I agree to perform all work pursuar,: ~o rules governing the described construction. SIGNATURE ~,/J~J2;~- AGENT/OWNER p)2/.?Y C DATE ADDRESS TELEPHONE #