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Home My WebLink About0039814-Plumbing (water heater) >'// 4.6). CITY OF OSHKOSH N ° - 39814 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG1' SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS ` ° 2 - / . - -s7 - PLAN NO. , OWNER a--1 s DESIGNER / USE /NATURE OF WORK ni 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 i BTWH _ Disp _ / Soft _. CBasin - Lay _ Sh _ DW _ DF — San. Sewer - WC FDr _ SP _ Ur _ Storm Sewer - Sink _ LTub _. Eject — SS _ Water Other FEES: Valuation a / 0 . ©O J $ Permit Fee Paid $ Park Dedication $ ISSUED BY Date 47 °/ � Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 9 _ AGENT /OWN DATE ADDRESS TELEPHONE #