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HomeMy WebLinkAbout0026241-Plumbing (water heater) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 26241 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG 6 SIGN 0 ZONING - - - - - - - - - - - - - - - - - - ; i _- _;.. J - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS S-/]L I~ . PLAN NO. LJ.-S2-- r ~ FLOOD PLAIN HEIGHT OWNER DESIGNER USE/NATURE OF WORK ~ ..e-d-vL tu;-I IJ w/o ~ (j BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR I 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 _BT LWH ;(~~7 _Sh _Disp _OW _SP _ WSoft _OF _ CBasin wJ::- _Lav _ San. Sewer _WC _FOr _ L Tub _Ur _ Storm Sewer _Sink Other _ Eject _SS _ Water sJ) _ ,4 I~, :.-.~ FEES: Valuation $ ;;;2:5'" t) ,0 C') tJ~~ Permit Fee Paid $ Date 1/ ~~~ . @ () /0 00 , , Park Dedication $ // -- / V ~ '9/ Final/O.P. ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. AGENT/OWNER 1(-/4-?/ · DATE SIGNATURE ~ ADDRESS z-/~ TELEPHONE #