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0025193-Plumbing (water heater)
� CITY OF OSHKOSH N° 25193 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��7 w �7 � �J¢ . PLAN NO. OWNER Joy CQ H 02�-�' DESIGNER USE/NATURE OF WORK � -�'-�-° A-� � 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�w�w�c� (�I ,' � � c� ' 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 $ y a • � Permit Fee Paid $ ��• �d Park Dedication $ ISSUED BY �� js Date � � � �- �� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ' � ENTOWNER DATE ADDRESS - TELEPHONE#