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Home My WebLink About1994-Plumbing (water heater) �l.l � CITY OF OSHKOSH N� �l� j � `' PERMIT -- APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG (� SIGN ❑ ZONING FLOOD PLAIN HEIGHT � � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS t�`ly l,� �, PLAN NO. OWNER 1J�I�l� �,/.Y�� DESIGNER USE/NATURE OF WORK�S�]�U ..•�--��.�.I��A 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 _Disp —WSoft —CBasin _Lav _Sh _DW —DF —San. Sewer —WC —FDr _SP —Ur —Storm Sewer —Sink —LTub —Eject —SS —Water Other FEES: Valuation $�1�� Permit Fee Paid $ ��-� 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 AGENT/OWNER DATE ADDRESS TELEPHONE k