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Home My WebLink About0031084-Plumbing (water heater) � CITY OF OSHKOSH N°- 31084 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - -�- - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS r � �3 �/ �' PLAN NO. OWNER /" � 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 ['ONTRACT�R �� _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 $ �� 7' �' � Permit Fee Paid $ � � ` � � Park Dedication $ ISSUED BY � Date / a �6 �� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �'l. f ' J � siGrvATURE �n�� ,�z�_ /l,�� ",�." i� . J � �3J ��Z q AGENT/OWNER DATE ADDRESS TELEPHONE N