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0032638-Plumbing (water heater)
��� � F E t: /� CITY OF OSHKOSH N° 32638 k �' PERMIT - APPLICATION AND RECORD t ; TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT ` - - - - - - - - - - - - - - - - - - - - - �_- - , - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � c � �� ��"-'�- PLAN NO. � i OW N E R -� ��-�t.---�c�--�-�- ; � DESIGNER ' � USE/NATURE OF WORK --�-- C2� � � � k BUILDING CON�"RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit � f 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 r � PLUMBING CONTRACTOR � BT �WH Disp WSoft CBasin � i: —Lav Sh DW _DF _San. Sewer ; WC —FDr SP Ur Storm Sewer —Sink —LTub Eject SS —Water � Other FEES: Valuation $ 3 �- e � Permit Fee Paid $ �c ` � � Park Dedication $ : ISSUED BY l'7/ Date °� � ` D � �a Final/O.P. � � In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ; SIGNATURE i ����`�-J L�!��s � � / � - /:o,) � AGENT/OWNER DATE ADDRESS TELEPHONE#