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HomeMy WebLinkAbout0017683-Plumbing (water heater) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 17683 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG $ SIGN 0 ZONING FLOOD PLAIN HEIGHT ~~~~E~~ - - - - - - - - - - - - - - - - ;/( ~ - -:I;;;;;'; / - - - - - - - - - - - - - ~~~ -N~- - - - - - - - - - - OWNER J St':;:;{ /A.- ,~<:?/1~~ DESIGNER USE/NATURE OF WORK r~;tO~c:-c 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 PLUMBING CONTRACTOR _BT 1WH c-~/rM'~ _Sh _Disp _OW _SP _ WSoft _OF _ CBasin _Lav _ San. Sewer _WC _FOr _ L Tub _Ur _ Storm Sewer _Sink _ Eject _SS _ Water Other FEES: Valuation $ o{J7) &- ISSUED BY n c;t,~ / ~ V Permit Fee Paid $ t tJ Date r --;L -- Z(j 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 (r-~ M ~ 49CJ-L AGENT/OWNER DATE ADDRESS TELEPHONE #