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0028860-Plumbing (water heater)
CITY OF OSHKOSH N9 28860 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT fii ADDRESS / 7 ,/,,,, PLAN NO. c_____ 7....,,, L .,...,...„. ZV ' ' r OWNER / DESIGNER USE /NATURE OF WORK i1- C.J N} 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 BT _X WH Disp WSoft CBasin e...‘,14-- Lav _ Sh DW DF San. Sewer WC _ FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation $ S @ ©' o 0 Permit Fee Paid $ � < 0 0 Park Dedication $ ISSUED BY Q-dre— J/d G� Date / 9 - Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE #