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HomeMy WebLinkAbout0025191-Plumbing (water heater) /� CITY OF OSHKOSH N° 25191 `' PERMIT - APPLICATION A ND RECORD TYPE: BLDG � HTG ❑ ELEC � PLBG `:. _ _ _ _ � SIGN � ZONING FLOOD PLAIN - - - - - - - - - - - HEIGHT - - - - - - - - - - ADDRESS �a!�( J a� k S n�� PLAN NO. : OWNER_gn,�nd,� G,�' ) So;� DESIGNER USE/NATURE OF WORK Q X�, o w � / 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 �i Electric Serv. New � Change ❑ Temp � Type Volts Amps Fixtures Switches Rece tacles p Circuits PLUMBING CONTRACTOR o.m m � _ „< < —BT -�WH —Dis , P —WSoft _CBasin �"� —Lav —Sh —pW —DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer —Sink _LTub _Eject _SS Other —�Nater FEES: Valuation $_ � 7 9� U 0 Permit Fee Paid $_ l0. [�n ISSUED BY � ��'�� Park Dedication $ 6 Date_ � �� '"'�/ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described constiuction. �__...__._ SIGNATURE DATE ADDRESS TELEPHONE#