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Home My WebLink About1992-Plumbing (water heater) � _ CITY OF OSHKOSH No 2�38� PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �( �'� �'` /r�� / 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 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 $ �-Si�' � � �' Permit Fee Paid $ �a ' d � 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 constiuction. SIGNATURE � ^� �"""`��'� �—�V ' / �- AGENT/OWNER DATE ADDRESS �Y� e� 'S P ``�`{' ��• �� ( 7 TELEPHONE#