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HomeMy WebLinkAbout0035279-Plumbing (water heater) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 y:;/ 35279 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E? _ C? _ ~~B~ , _ ~I~~ _~ _ ~O_N~N_G _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ '(Yeti lfJ N6 yy\; ffnn Ca rJ D; 113 t21tr ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK ~ pfJ. /iJfJ 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 PLUMBING CONTRACTOR S () rn 11'\.,0 ru,> _BT 1WH _Disp _Lav _Sh _DW _SP _ WSoft _DF _ CBasin _ San. Sewer ~ _WC _FDr _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other /1 ....' FEES: Valuation $ uSa. c-o Permit Fee Paid $ ISSUED BY tuaf;b j{ ~ (>a f!f>('.f d) ji4-- Date {f\.ero 1-- 110 -93 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 DATE ADDRESS TELEPHONE #