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0046142-Plumbing (water heater)
�1// CITY OF OSHKOSH N°- 46142 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG f� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��'7� ' ' � �� ��• PLAN NO. OWNER �1�1i�/1('�L,1 l;��QCI Y� Y� DESIGNER USE/NATURE OF WORK � _� ,�I C�C'CJ �7 l'79��1'�Yl P.IPC'"� • I �c�'�'P� �f�"Pr � BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CO.NTRACTOR 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�� �a �I m b� ._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 $ � Per ' Paid $�� Park Dedication $ ISSUED BY Date � — �l r�s� Final/O.P. In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �' c.�4 Z� �� ���y I 4� AGENT/OWNER DATE ADDRESS ��� 4�-� � �35� �i�l�(Q TELEPHONE•