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Home My WebLink About1989-Plumbing (water heater) � _ CITY OF OSHKOSH N°_ 16347 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � PLAN NO. OWNER lo��Ph tT�- DESIGNER USE/NATURE OF WORK��(��'s 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-_ss=��%✓Y�'l�Y�i( _BT �WH Disp —WSoft —CBasin —Lav —Sh —DW DF San. Sewer WC —FDr —SP —Ur —Storm Sewer —Sink LTub Eject —SS Water Other / ov �$ FEES: Valuation $ ��b� Permit Fee Paid $ �Q Park Dedication $ ISSUED BY��/ Date �i "' �� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 3 �� AGENT/OWNER DATE ADDRESS TELEPHONE# �