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HomeMy WebLinkAbout0032158-Plumbing (water heater) CITY OF OSHKOSH N°_ 32158 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ,Q6] SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS °2 / PLAN NO. OWNER li zi-„zz DESIGNER l y USE/NATURE OF WORK If ! /^ 'V !�� i BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR J---4� ( 6 �" (/* BT _L WH Disp WSoft CBasin 1 — Lav _ Sh DW DF San. Sewer — WC — FDr _ SP _ Ur __Storm Sewer - Sink _ LTub Eject SS Water Other FEES: Valuation $ 3 S ' © Permit Fee Paid $ / O ' O a V Park Dedication $ ISSUED BY Date / I ' . 7 Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE c"-----d ( - 3 1 \l'Arr- 1 \I 42 -.) 2 - F,-.. y,/� Ai T /OWNER DATE ADDRESS pli /U` // "9 ' � ) /) L . 9c,za? —D G y-S TELEPHONE #