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Home My WebLink About0046004-Plumbing (water heater) y/I : CITY OF OSHKOSH N°- 46004 n PERMIT - APPLICATION AND RECORD : TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � �� u � ' �� ` PLAN NO. � OWNER DESIGNER USE/NATURE OF WORK__ _Y�`'Q-��-� l!vG�' �� CX�t��' 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 r _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 $ �� • � a Park Dedication $ ISSUED BY Date �l�` —��5— Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE — • AGEN /OWN R DATE ADDRESS TELEPHONE N