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Home My WebLink About0005041-Plumbing (water heater) � _ CITY OF OSHKOSH N° 05041 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS_ � � / / -�[s��``-- PLAN NO. OWNER �� z�-r�' �i�'�--�-��"� 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 ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR �_�^�-�i —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 $_��j�� Permit Fee Paid $ �� Park Dedication $ ISSUED BY �'L—�—��z� Date � —a� �� Final/O.P. ' In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � AGEN R DATE ADDRESS TELEPHONE#