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Home My WebLink About0003927-Plumbing (water heater) ~ CITY OF OSHKOSH N! PERMIT - APPLICATION AND RECORD 03927 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER I. <) /,1 /Ia-r r-t.5"Cf\- T$A~ PLAN NO. ADDRESS DESIGNER C/L/CZ"~ ~&~ USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation 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 (~~. .t-2'4~...J _ BT --L WH - Disp _WC _OW _SP _ WSoft _OF _ CBasin _Sink _Sh _FOr _ L Tub _San. Sewer _Lav _Ur _ Storm Sewer _ Eject _SS _ Water Other / ..d......"-... ~~./ Permit Fee Paid $ 3> ~ Date ~<:f/ J /' Park Dedication $ Final/O.P. ~"'- FEES: Valuation $ / ./ ISSUED BY "' ~0<tF/ ,;' In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ~--=::::> . ~ \ ~~-;;:;- SIGNATURE ~. \)~ "\-.-- ~~-'CJI'-/'~ \ AGENTIOWNER DATE ADDRESS TELEPHONE #