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0046517-Plumbing (water heater)
y�� � CITY OF OSHKOSH N°_ 46517 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT i - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �7 �3 �� ���1/ �1�� - PLAN NO. OWNER �Or/�d L,l�. �Zti,(tP.h � DESIGNER USE/NATURE OF WORK�f -�c'1 Al'� ��E�'�Ll� /Lf� !�-C� 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 = )�.s�[,�jLL� �G�d�L!� _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��0� Permit Fee Paid $I���� Park Dedication $ ISSUED BY ��� Date ���'�� -Ss FinaUO.P. In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE � AGENT/OWNER DATE ADDRESS TELEPHONE N