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0017690-Plumbing (water heater)
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 17690 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG~ SIGN 0 ZONING FLOOD PLAIN HEIGHT ........ --- --.. -............ --.. --.. -.. --.. --.. --.. -- --.. -- -... ---.. -- -.. --- -.. -.... -- "'_.. -.._- ADDRESS ~r'~ Jt:::7 A/'" PLAN NO. OWNER DESIGNER USE/NATURE OF WORK }/'L ~~ c-C . / 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 L. ~ ~~ - BT --I- WH _ Disp _Lav _Sh _OW _SP _ WSoft _OF _ CBasin __ San. Sewer _WC _FOr _ L Tub _Ur _ Storm Sewer _Sink Other _ Eject _SS _ Water / en V" Permit Fee Paid $ /0 Date ~..< -?d Park Dedication $ Final/O.P. FEES: Valuation $ 50..2 t26.- ISSUED BY X2~~ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ , tl,,~? ~ 2--q''' DATE ADDRESS TELEPHONE #