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HomeMy WebLinkAbout0008657-Plumbing (water heater) � CITY OF OSHKOSH N°_ 08657 `' PERMIT - APPLICATION AND RECORD � TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK�����- „�,_�_ 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 PI 11MBING C'ONTRACTC�R /yLL1/Y[�2,� _BT �WH Disp —WSoft —CBasin Lav —Sh —DW DF San. Sewer —WC FDr SP —Ur —Storm Sewer —Sink —LTub —Eject SS Water Other � ca FEES: Valuation $ ���� Permit Fee Paid $ � Park Dedication $ ISSUED BY��-� / Date Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �'—�-- SIGNATURE � � �d �� AGENT/OWNER ' DATE � : ADDRESS TELEPHONE#