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Home My WebLink About0002648-Plumbing (water heater) � _ CITY OF OSHKOSH N° _ 02648 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS_- ��( / ��L� �L PLAN NO. � � OWNER DESIGNER /, USE/NATURE OF WORK (Q--G C' �,.� � � 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 D`�-�- —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 $ ��v�J—� P rmit Fee Paid $ � Park Dedication $ ISSUED BY � - Date Final/O.P. In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE '\ �� '' �� AGENT/OWNER DATE ADDRESS TELEPHONE M �