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0037930-Plumbing (water heater)
��� CITY OF OSHKOSH N° 37930 n PERMIT - APPLICATI N O AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS r� / �� �T� PLAN NO. OWNER � 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 CONTRACT(�R � �'�" 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 $ -��� • `�c� Permit Fee Paid $ ld _ O d park Dedication $ ISSUED BY ��/ Date 3 S Final/O.P. ' In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � � � �3�� AGENT/OW R pp7E ADDRESS TEIEPHONE S ��� PLDi�IPG PERL�II? APPLICSTION � '�' DATE - �/�• `�'.� pgg�T# ADDBESS r -�..,. OWl�EB C- t PLDl�ER � �� ►�faiYRG Vi' WV(\q �r ` / � �Aii� �AiQ� �. T T �ATEx Bathtub Su Pu Lavatc E'ector . oilet Water Softener TE, II�'SpECTIpp DA� �,t. Sink Drinkin Fountain Siak other � W e ter Slo Sink ��� � 3� q eseTa � ! � Floor Drain Local Waste ` Laundry Tu Site Drain Dis osal Laundr Stand i e Dishwasher Catch Basin ** Violation netea en the reverse �ide