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0012272-Plumbing (water heater)
~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 12272 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG~ SIGN 0 ZONING FLOOD PLAIN HEIGHT - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - USE/NATURE OF WORK 6'S{" PIT ~r,N~ C~4/ 4-ek~A-- /' YerPhce (A/Cr/tA-- k?fL. I PLAN NO. ADDRESS OWNER DESIGNER BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. I 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 --.! WH ~ItB~ _Sink Other _FDr _ L Tub _Disp _DW _SP _ WSoft _DF _ CBasin _Lav _Sh _San. Sewer _ Eject _SS _ Storm Sewer _ Water _WC _Ur / FEES: Valuation $ 375~ Permit Fee Paid $ It) (:rO t/' ISSUED BY . ~~ 6~ ~- Date ...;? -- :J.-. --8' 7 Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ~'1 I 1 . SIGNATURE ~ f 1J{J-f AGENT/OWNER DATE ADDRESS TELEPHONE #