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HomeMy WebLinkAbout0043375-Plumbing (water heater) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD y\ \ N!r '.43375 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT . - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS Q\\ ~frutj'f)S+.. OWNER < 10. \~ ~ "!'/YY'. DESIGNER USE/NATURE OF WORK~(ie~d UJ{\~f_ .nOok( J 'Ko-fD-U:Oc\ e 000, ~lt~}i6fL) PLAN NO. BUILDING CONTRACTOR Size Sq. Ft. Foundation # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat D 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 1(o.J)m\l~() _BT -LWH _Disp _WC _Sink Other _Ur _ CBasin _ San. Sewer _ Storm Sewer _ Water C-- _Lav _Sh _FOr _ L Tub _OW _SP _ WSoft _OF _ Eject _SS 4^i'\.~ FEES: Valuation $ -~- ~ Permit Fee Paid $ Park Dedication $ Final/O.P. ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE rI- fl~ AGENT/OWNER /r/?-1;- DATE ADDRESS TELEPHONE #