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Home My WebLink About0011983-Plumbing (water heater) � _ CITY OF OSHKOSH No 11983 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ,��7�, PLAN NO. OWNER C- DESIGNER USE/NATURE OF WORK � �O �'� 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 ��-'L —BT �WH _Disp —WSoft CBasin —Lav —Sh _DW DF —San. Sewer —WC _FDr SP Ur _Storm Sewer —Sink _LTub Eject —SS —Water Other °'y �d�-- FEES: Valuation $ �� Permit Fee Paid $ S Park Dedication $ ISSUED BY�� .-z�-z� Date �� `�� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ✓ —..__ SIGNATURE � �- AGENT NER DATE ADDRESS TELEPHONE#