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0000794-Plumbing (water heater)
� _ CITY OF OSHKOSH No _ 00794 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS_ ��3 � �� 7� PLAN NO. OWNER /o vut ���,SG 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 PLUMBING CONTRACTOR c isi,�y?�.►�,� —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 $ �- Permit Fee Paid $ �v 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. �------ �J. �_.__--\--� SIGNATURE •� � AGENT/OWNER DATE ADDRESS TELEPHONE N _