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0032099-Plumbing (water heater)
��/ � CITY OF OSHKOSH N°_ 32099 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - f� ADDRESS ��� 6 � • � T PLAN NO. OWNER S��'�� � DESIGNER USE/NATURE OF WORK `��( ► BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ FueVSystem Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _S —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 �� � �" �� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. C _ SIGNATURE � K/� AGENT/OWNER DATE ADDRESS TELEPHONE#