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0038281-Plumbing (water heater)
f��� � CITY OF OSHKOSH N° 38281 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��'� l',!� ' PLAN NO. �--- ,/ _ OWNER ����-�-� �- DESIGNER USE/NATURE OF WORK -� �' /G°�� BUILDING CONTRACTOR ' Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑' FueUSystem Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR —BT �WH — sp —WSoft _CBasin G��� —Lav _Sh _DW _DF _San. Sewer —WC _FDr _SP _Ur _Storm Sewer —Sink _LTub _Eject _SS —Water Other FEES: Valuation $ ��� ' ���� Permit Fee Paid $ �b ' � �� � 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. SIGNATURE �� � � � � � NT/OWNER D E ADDRESS TELEPHONE N