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1995-Plumbing (water heater)
� � � CITY OF OSHKOSH N°- 44772 ; � PERMIT - APPLI TI N AND RE RD CA O CO TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - • • - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - : ADDRESS I � PLAN NO. i OWNER DESIGNER USE/NATURE OF WORK �P��v$�Q �.�.C.��1��1 1QtV �'tC.l� 1 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 s�C�'mYY1Q1'n� _BT �WH _Disp —WSoft —CBasin � _Lav _Sh _DW _DF —San. Sewer _WC —FDr _SP _Ur —Storm Sewer —Sink _LTub _Eject —SS —Water Other FEES: Valuation $ i �� Permit Fee Paid $ l��� Park Dedication $ � ISSUED BY Date � 3 -S Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE—�V AGENT/OWNER DATE ADDRESS TELEPHONE N