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0042393-Plumbing (water heater)
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N!! LJ i/ 42393 TYPE: BLDG D HTG D ELEC D PLBG ~ SIGN D ZONING FLOOD PLAIN HEIGHT ~ - - - . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ---tdD ~ OWNER~m \ 5dd --m~t\ 0. rrrdt. 1l J Q.(jf{)(\ - PLAN NO. DESIGNER USE/NATURE OF WORK ;. llcrti. \ Mo.hr BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 AlC 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 S1 YYI rnt2fY) <) _BT ~WH _Disp _Lav _Sh _OW _SP _ WSoft _ CBasin ~ _OF _San. Sewer _Ur _ Storm Sewer _SS _ Water _WC _FOr _ L Tub _ Eject _Sink Other FEES: Valuation $ r: 16() L ctJ ISSUED BY ~----- /' e/"' Park Dedication $ Final/O.P. Date In the performance of this work I agree to perform all work pursuant to rules governing the described construction. c -?:, .ry'\ ~. SIGNATURE DATE ADDRESS TELEPHONE #