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HomeMy WebLinkAbout0038291-Plumbing (water heater) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD y?/ 38291 ~ N2 ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ _ ~~E~ _ C? _ ~~B~ )~( ~I~~ _~ _ ~O_N~N~_ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ /006' ~ #$ ~ ~ " t~ #'1/ ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK 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 ~WH --. ---DIS~ _Lav _Sh _DW _SP _ WSoft _DF _ CBasin _ San. Sewer _ Storm Sewer _ Water ~ _WC _FDr _ L Tub _Ur _Sink Other _ Eject _SS ISSUED BY V60 ;.f5 0 /f/ Permit Fee Paid $ Date / /0_05 i (T/~ ~;C ... " 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 /JI.tf) ftft?1/1-~'I~~~NER 1~/9i ADDRESS TELEPHONE #