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1992-Plumbing (water heater)
� CITY OF OSHKOSH N° 28714 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �] SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � �Q 3 ����I' . A.� PLAN NO. OWNER 1 l-�c�,�n l�1�1.i,�.� c 2 � � DESIGNER USE/NATURE OF WORK ^ LC�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 SQm'vYri-�Yt-� 1"-��-G i...1�– —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 $ ��� '�� Permit Fee Paid $ �v � � Park Dedication $ ISSUED BY �'`"�� Date � �6 Z- Final/O.P. In the perfor of this work I agree to erform afl work pursuant to rules governing the described construction. �— SIGNATURE ► v AGENT/OWNER DATE � ADDRESS TELEPHONE# -