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0044059-Plumbing (water heater)
(t) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD L/ I J N! 44059 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG P( SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - . - - - - - - - - - - - - - - - - - - - ADDRESS 4 f)l 0 ~ {l..lLJf.~ OWNER 5r Jl Lt. x:Ltl 1? .fOr 9.1t(w DESIGNER USE/NATURE OF WORK ~-D piG rorl u.. )(\:\er .. JlOo...1-ex-' PLAN NO. ( 6-M ) BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. 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 'k>aJJmU1),[Uln _BT ~WH _Disp _Lav _Sh _FDr _ L Tub _DW _SP _ Eject _ WSoft _DF _ CBasin C---- _WC _Ur _ San. Sewer _ Storm Sewer _Sink Other _SS _ Water / I FEES: Valuation $ ~ Permit Fee Paid $ ISSUED BY ~ Date 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 ~- fi~ 3-J- 7- fr AGENT/OWNER DATE ADDRESS TELEPHONE Ii