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0025836-Plumbing (water heater)
� CITY OF OSHKOSH N° 25836 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS `4 r� � PLAN NO. OWNER � -� '� DESIGNER USE/NATURE OF WORK ✓��`�-z`� �� � / /^ ��� BUILDING CONTRACTOR 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 � +\ 4.� _BT � WH Disp WSoft CBasin —Lav —Sh DW DF —San. Sewer WC FDr —SP —Ur Storm Sewer —Sink —LTub —Eject —SS Water Other_ ��� F-�� _ FEES: Valuation $ 3 '� �•� ° Permit Fee Paid $ � � � � �' Park Dedication $ ISSUED BY �'�-� ��`-�"-�`-�'� Date �"� � �� � �/ Final/O.P. In the performance o tFi4s work I agree to p�rform all work pursuant to rules governing the described construction. � � u i 7 � � SIGNATUR � �'(� � - ! � � �� � AGENT/OWNER , DATE �-.,�� , � 1 , "i �'� ' - ADDRESS��[•^f /!r�-''✓��-� 'G'C�(�/ �� '� C.�� �'� --� �l ��� 1 TELEPHONE# PLTJI�ING PERMIT APPLIC?,TZON ADDRESS /d�-z- ��-u���� DATE � ^ �� '' S�� PERMIT�k �� g �� OWNER � S �i-t<.� �..._ PLUrIDER � /�-s.. NATLTRE OF WORK � Lc7 H W d� �/ �8' NE�J LAY REPAIR INTERIOR SAN SEW � � wATER Bathtub Catch Basin Lavato Grease Trap Toilet I S P NSPECTION DATE INSPECTION DATE Kit. Sink I Local Waste Sink(other Site Drain Shower Laundry Stand Pipe Floor Drain Lauad Tra Dis osal Wat. Softner Dishwasher D. Fountain Water Heater E�ector �., Future outiets J—�crzt��'-�s ��Z� � — ✓�/C"� Z��� � � s ��' ** n' on the reverse ide