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0011980-Plumbing (water heater)
� CITY OF OSHKOSH No 11980 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - , ADDRESS ���� � /�" PLAN NO. OWNER �dG ��GG. /�!/4-� DESIGNER USE/NATURE OF WORK �c BUILDING CON7RACTOR 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 �n- ��_ FEES: Valuation $ Permit Fee Paid $ 5 Park Dedication $ ISSUED BY �� Date �, �%�—� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. _ `\ SIGNATURE ` �w�/ 't- AGE ER DATE ADDRESS TELEPHONE#