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1991-Plumbing (water heater)
n CITY OF OSHKOSH N°_ 24094 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - , ADDRESS �!� `�`-� �''��` PLAN NO. OWNER �/ - � � � DESIGNER USE/NATURE OF WORK °-� --r��-'� t��� �f BUILDING CONT'RACTOR Size Sq. Ft. # Rooms # Stories Height r 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 R —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 $ ��S � � Permit Fee Paid $ �� ` � a Park Dedication $ ISSUED BY �"������ Date �"� 7 / Final/O.P. 3 - z1 - `�i In the performance is work I agree to perform all work pursuant to rules governing the described construction. SIGNATU %rl�-l/)'7 -G� -�/ �O AGENT/OWNER DATE - ADDRESS `-r" ' ` �=/j�-�� � /�� ; � � TELEPHONE#