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0025198 Plumbing (Water Heater)
CITY OF OSHKOSH N4 25198 n PERMIT - APPLICATION AND RECORD TVPE: BLDG ❑ HTG G ELEC �j PLeG � SIGN ❑ ZONING —. FLOOD PLAIN— . HEIGHT ... _ " " ' _ _ " ' _ _ _ " " " " _ " " " " " ' _ " " _ _ " " ' _ ' _ " " ' _ " _ " " " " " ADDRESS a 3 n S� �F — PLAN NO. OWNER G n L.J 11, USBNATURE OF WORK � BUILDING CONTRACTOR Size — Sq. FL # Rooms # Stories Heigh� Foundation Class of Const. .— Occupancy Permit HEATING CONTRACTOR — — Heat ❑ NC ❑ Vent ❑ FueliSystem __ Heat Loss BTU'S ELECTRIC CONTRACTOR � - Eleciric Serv. New ❑ Change ❑ Temp ❑ Type _ Volts— Amps Fixtures Switches Receptacles Circuits— PLUMBING CONTRACTOR S P/ ^ 6� O� 6 Knc h Ir [ . _. B7 � WH Disp WSott CBasin W —Lav Sh —DW DF San. Sewer WC FDr _— SP .._ Ur Sbrm Sewer —_Sink —LTUb Ejett —SS Wa�er Olher. FEES: Valuation $ �� 3� a$ Permit Fee Paid $ �� n�� Park Dedication $ ISSUED BV �"} ���"y . Date _. � — � � �/. FinaI.OP. . __'_ - In �he pertormance of ihis work I agree m peAorm all work pursuant to mles goveming �he described cons�mc�ion. SIGNATURE� "' � �EM� � — � onrc TELERiIXiE ♦