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0012489-Plumbing (water heater)
� � CITY OF OSHKOSH No � 24gg `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - : �-- / ADDRESS ��� �C� �C=rs'� PLAN NO. OWNER � .S/�C°�� 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 PLl1MBWC� C'ONTRACTOR L�L� ,�-r�,� —BT �WH —Disp —WSoft —CBasin —Lav —Sh —DW —DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer —Sink —LTub —Eject —SS —Water Other � crZ,_.___ a�j FEES: Valuation $ Permit Fee Paid $�� Park Dedication $ ISSUED BY Date � �7^� Final/O.P. In the performance of this wo I agree perf all r rsuant to rules governing the described construction. SIGNATURE - AGENT/OWNER DATE ADDRESS . TELEPHONE N �