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Home My WebLink About0033331-Plumbing (water heater) t�/% � CITY OF OSHKOSH N°- 33331 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�] SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS I�� • �� PLAN NO. OWNER DESIGNER USE/NATURE OF WORK.,%�'��1�_�l�LZ� 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, �Z�Yr� > _BT �WH —Disp —WSoft —CBasin � —Lav —Sh —DW —DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer _Sink —LTub —Eject SS —Water Other L� . d � FEES: Valuation $ �Q� �� Permit Fee Paid $ Park Dedication $ .� 9-9� : 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. �_. SIGNATURE ' �� - �� C�"" AGENT/OWNE DATE . ADDRESS TELEPHONE# .