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HomeMy WebLinkAbout0025210-Plumbing (water heater) K � � � CITY OF OSHKOSH N° 25210 � `' PERMIT - APPLICATION AND RECORD � TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �J SIGN ❑ ZONING FLOOD PLAIN HEIGHT _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ' _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 3 , ADDRESS / a U �. nfi��0. PLAN NO. � OWNER L y G�.;c, S c hc,rQr k € i � DESIGNER � ��C1 € USE/NATURE OF WORK r� �� �"a M � F � ; € � f: F � BUILDING CONTRACTOR � � Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit i � HEATING CONTRACTOR � Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S � 4 ELECTRIC CONTRACTOR � s Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps # Fixtures Switches Receptacles Circuits : f PLUMBING CONTRACTOR SC�mrn0���5 P/u.m�Ji �� ��, ��hkoSh -Ln� � C�.�.� t —BT �WH —Disp WSoft —CBasin ` —Lav Sh _DW _DF San. Sewer WC FDr SP Ur _Storm Sewer Sink —LTub —Eject SS Water t Other � FEES: Valuation $ 3`�� - `�S Pejmit Fee Paid $ ��� vo Park Dedication $ _ ISSUED BY �"� Date � "s � y 9� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ' ' AGENT/OWNER DATE ADDRESS TELEPHONE# k