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HomeMy WebLinkAbout0020887-Plumbing (water heater) � CITY OF OSHKOSH N° 20887 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG J� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� � (� ��l� PLAN NO. OWNER �.°li',L��'4�G{ �-,��Ld.�� 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 —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 $ lv � Park Dedication $ ISSUED BY ��/�� Date lU —��9�_ Final/O.P. In the of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE� �/ AGENT/OWNER DATE � ADDRESS TELEPHONE#