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Home My WebLink About0012268-Plumbing (water heater) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 12268 TYPE: BLDG D HTG D ELEC D PLBG ~ SIGN D ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1- - - - - - - - - - - - - - - - - - - - - - - - - - Ie s { 4 c=l\rL/,/ JI. Err ybAA"'-' z~/t~<~t-- ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK ~~E'r"//~t2~./ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat D NC D Vent D Fuel/System Heat Los~ BTU'S ELECTRIC CONTRACTOR Electric Servo New D Change D Temp D Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT ~WH {' d;;~ _WC _Ur _ CBasin _ San. Sewer _ Storm Sewer _Sink Other _FOr _ LTub _Disp _OW _SP _ WSoft _OF _Lav _Sh _ Eject _SS _ Water I _Ci~ .. cn>v' FEES: Valuation ~_ ""Pe,ml' Fee Paid $ ,"0 , ISSUED BY ~ ~ Date ,z ~..2. ~g;--( 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 ~JiW, ' AGENT/OWNER DATE ADDRESS TELEPHONE #