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HomeMy WebLinkAbout0027497-Plumbing (water heater) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 27497 ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ _ C? _ ~~B~ J\ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ OWNER 7/7 w. t:;:J= . PLAN NO. ADDRESS DESIGNER ~ ~ t-JFf USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit 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 LWH 2~ _ Disp _ WSoft _ CBasin w.K- \. _WC _Sh _FDr _LTub _DW _SP _DF _ San. Sewer _Lav _Ur _ Storm Sewer _Sink Other _ Eject _SS _ Water ISSUED BY sL':5""75 , a C Permit Fee Paid $ L...,} ~. Date /D_e 0 1/'/ ;:z --..2 C - /'2- Park Dedication $ Final/O.P. FEES: Valuation $ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE O~L~ AGENT/OWNER d/~DfI9 Z- ADDRESS TELEPHONE #