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0048429-Plumbing (water heater)
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD 4/1 Ng-48429 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ;:;)a(),~ OWNER O(Lf\ U ~ .LJo mi (+tn S+. ~. tnpfsh PLAN NO. DESIGNER USE/NATURE OF WORK UJf!kr hGakr BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System ,0 Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR 5n.. yY\M()f1.A P 1h:J_- _BT -LWH _Disp _Lav _Sh _FOr _ L Tub _OW _SP _ Eject _ WSoft _OF _ CBasin _ San. Sewer _ Storm Sewer _ Water _WC _Ur _Sink Other _SS / ./~ Permit Fee Paid $ / D //- '5 () r- ?~ Date ~ - ,. Final/O.P. I#' In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ~-~ SIGNATURE ' ~ FEES: Valuation $ l.[ 1 t:) ~~ Park Dedication $ ISSUED BY ~~ AGENT/OWNER DATE ADDRESS TELEPHONE #