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HomeMy WebLinkAbout0016297-Plumbing (water heater) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 16297 TYPE: BLDG D HTG D ELEC D PLBG ~ SIGN D ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - -. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER 1~/iJ II-a/Y/Jey' 6, ~/JA kV0e'L PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK rr ;:;/c;L r BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat D NC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New D Change D Temp D Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR S'~ fr7l(7VZ ~ _ BT -'- WH _ Disp _Sink Other _FOr _LTub _OW _SP _ WSoft _OF _ CBasin _Lav _Sh _ San. Sewer _WC _Ur _ Storm Sewer _ Eject _SS _ Water ~Ob /0&'7 v/ FEES: Valuation $. Permit Fee Paid $ ISSUED BY .t/ ~'7>/ Date / 1- ~- ff Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. r- _.~ SIGNATUR~ ~ ~ . AGENT/OWNER DATE ADDRESS TELEPHONE #