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Home My WebLink About1995-Plumbing (water heater) yll # CITY N° � 43658 � OF OSHKOSH `' PERMIT � APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN � ZONING FLOOD PLAIN HEIGHT ` . _ . _ . ADDRESS PLAN NO. -� . OWNER DESIGNER USE/NATURE OF WORK�.U,1� . �D(��D �' BUILDING CON7RACTOR 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�_�(��1 i�Y1I��YI S —BT �WH _Disp _WSoft _CBasin _Lav _Sh _DW _DF _San. Sewer �' —WC _FDr _SP _Ur ._Storm Sewer —Sink _LTub _Eject _SS _Water Other � I FEES: Valuation $ ��-�-1�� Permit Fee Paid $ ��•�'� Park Dedication $ ISSUED BY Date al�9 9 s Final/O.P. In the performance of this work I agree to perform alI work pursuant to rules governing the described construction. _.._..._..___ � SIGNATURE ��---- ` ` �-` AGENT/OWNE pA� . ADDRESS TELEPHONE*