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0034094-Plumbing (water heater)
��/ � CITY OF OSHKOSH N° 34094 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �l PLAN NO. OWNER : DESIGNER USE/NATURE OF WORK 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 —BT �WH _ p _WSoft _CBasin � —Lav _Sh _DW _DF —San. Sewer —WC _FDr _SP _Ur —Storm Sewer —Sink _LTub _Eject _SS —Water Other � FEES: Valuation $ ` G �- � � Permit Fee Paid $ �� ` C} b Park Dedication $ ISSUED BY � Date � � � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �i AGENT/OWNER DAT ADDRESS TELEPHONE k