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Home My WebLink About0041430-Plumbing (water heater) 0 _ �� /7 CITY OF OSHKOSH N" 41430 r `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG� SIGN [] ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - ADDRESS�(�I � ` I�V , � O��,��, PLAN NO. OWNER `�� Q lA. �0 �(� U DESIGNER USE/NATURE OF WORK 1.l )C1�D (� �0(�'Q(� 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 t�m mo ns . —BT �WH —DisP —WSoft —CBasin ,�!<� —Lav _Sh _p�y _DF _San. Sewer —WC —FDr _gp _�� _Storm Sewer —Sink _LTub _Eject _SS _Water Other FEES: Valuation $�c�J•� Permit Fee Paid $ � Park Dedication $ ISSUED BY Date � � Final/O.P. In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE#