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0028682-Plumbing (water heater)
� CITY OF OSHKOSH N° 28682 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG [� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � � 7 �• �� PLAN NO. � OWNER I�LI..� KL,�SL�'Yl 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 5a-'w�7YLC;r-� -l� L.J —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 $ S�c ��� Permit Fee Paid $ 1�� �� Park Dedication $ ISSUED BY �j� Date '�� �6 Z FinaVO.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. <�, r SIGNATURE � GENT/OWNER DATE ADDRESS TELEPHONE#