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0031659-Plumbing (water heater & dishwasher)
� CITY OF OSHKOSH N°_ 31659 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT �' - - - - - - - - - - - - - - - - - - - - - - - - - - r-�- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � 7 a � � PLAN NO. OWNER � DESIGNER USE/NATURE OF WORK ��� �7J</ BUILDING CON�"RACTOR 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 $ ``� �g' d � Permit Fee Paid $ /° . G � Park Dedication $ ISSUED BY � Date ll �3 9� 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 ATE ADDRESS 13��� �o.x.`, �-i 7��-4'�`ts TELEPHONE#