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Home My WebLink About14567-Plumbing (water heater) � _ CITY OF OSHKOSH N°_ 14567 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ,� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� (�� PLAN NO. OWNER /�/�/t%ih � �� 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 �T ��.�-- —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 $ Permit Fee Paid $ �� Park Dedication $ ISSUED BY Date �^.1 c _—�_ Final/O.P. In the performance of this work I agree to perform all work pursuan: :o rules governing the described const�uction. , �__ -� _-_ SIGNATURE � ^ ��•� �� ENT/OWNER DATE ADDRESS TELEPHONE#