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0045995-Plumbing (water heater)
y%/ � CITY OF OSHKOSH N°_ 45995 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' ADDRESS �� � YY • �J��'1 �� . PLAN NO. OWNER �✓t�I?�� � ' �Qv ����� DESIGNER USE/NATURE OF WORK rTC���,� �-�r h���� �� L���r BUILDING CON7RACTOR . 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 gaLm m�h s �jl.��FJ ( In CJ� _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 $ J 5v • �� Permit Fee Paid $ j� • U Q Park Dedication $ ISSUED BY�—i� � � Date /7 ��� �S^ Final/O.P. In the performance2f this work I agree to perfor c ursuant to rules governing the described construction. : ��-..'. —�_�_`� SIGNATURE � AGENT/OWNEFi DATE ADDRESS TEIEPHONE N