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Home My WebLink About0040149-Plumbing (water heater) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD Ng ~// 40149 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ _ C? _ ~~B~ ,r ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ < ' USE/NATURE OF WORK PLAN NO. ADDRESS OWNER DESIGNER BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms Height Occupancy Permit HEATING CONTRACTOR Heat D AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type Volts _ Amps_ Circuits Fixtures Switches Receptacles PLUMBING CONTRACTOR C ..o~~_ ( /J .~~ ~~?,~,) _ BT -.L WH _ Disp _ WSoft - CBasin _Ur _ San. Sewer _ Storm Sewer _ Water ~ _WC _Sh _FOr _ L Tub _OW _SP _OF _Lav _Sink Other _ Eject _SS FEES: Valuation $ ISSUED BY 7.,,20 CO '. ~/ Permit Fee Paid $ Date / /0 ... C) .o.! y~y- . / 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 .L:~ Y ~~ "' AGENT/OWNER ADDREss/~a.;?~ YaL~ ~/W~-., 5YfJ5 1f -~ ~'I' -91' DATE 75-7- 6/30 TELEPHONE #