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0032157-Plumbing (water heater)
~ CITY OF OSHKOSH N~ 32157 PERMIT - APPLICATION AND RECORD ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ _ ~~E~ _ ~ _ ~~B~ _ ~ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ OWNER IIF~ cL J( PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK ~ ~ fVt1 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 _ BT ---L WH s~ (I!>r?~l _ Disp _ WSoft _WC _Ur _ CBasin _ San. Sewer _ Storm Sewer _ Water tf;:P- _Sink Other _FOr _ LTub _OW _SP _OF _Lav _Sh _ Eject _SS FEES: Valuation $ ISSUED BY "3 S-o~C 0 J4;:Z- Permit Fee Paid $ Date / /'O~6bV/ /,;--/ ;-~/:r.:2-- ( / 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 ~~ /.J -..>..2 - 9~ I AGENT/OWNER DATE ~ ;;J-..jd-. ;v.~ fi4,+/ kJf ~~ FpL. 9~~ -00 ~ ADDRESS TELEPHONE #