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Home My WebLink About0031079-Plumbing (water heater) � � CITY OF OSHKOSH N° 31079 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT : - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -�-� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ; �/ 7� ADDRESS �O�� /�" � PLAN NO. OWNER � ` DESIGNER USE/NATURE OF WORK v� ' J 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 �WH —Disp —WSoft —CBasin � �. _Lav —Sh —DW —DF —San. Sewer E —WC —FDr —SP —Ur _Storm Sewer —Sink _LTub —Eject —SS —Water Other / FEES: Valuation $ ��g� � � Permit Fee Paid $ � � � � � Park Dedication $ ISSUED BY � Date / � � ' �� FinaVO.P. € In the performance of this work I agree to perform all work pursuant to rules governing the described construction. , , ;'�- �_ � �/ SIGNATURE rytil.� � f(.rG/l . ) ., �U ..�. , � `,�C> _ �, ,� : AGENT/OWNER DATE � ADDRESS TELEPHONE N i