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HomeMy WebLinkAbout0031000-Plumbing (water heater) CITY OF OSHKOSH N °_ 31000 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / /' 4 4//a......„...„ PLAN NO. OWNER DESIGNER USE/NATURE OF WORK e /-/- 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 .___4 WH — Disp f_____ WSoft — CBasin — Lav _ Sh — DW _ DF _ San. Sewer — WC — FDr _ SP _ Ur ._ Storm Sewer Sink _ LTub Eject SS Water Other Pb / FEES: Valuation $ 3p Permit Fee Paid $ , ©~ © a Park Dedication $ ISSUED BY Date ----2-4f' Y Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE eal A #41 Vii / V2. ( .Z AGENT /OWNER D ADDRESS TELEPHONE #