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Home My WebLink About0039073-Plumbing (water heater) � /� CITY OF OSHKOSH N° 390 : `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT ; - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� (f/�G�� PLAN NO. OWNER_ �lY1/J GV�{I/.[��,I�// D.IJ DESIGNER USE/NATURE OF WORK . ��C�D./J.II f �(�� f'�,1J BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTIJ'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR �mjn��_ —BT �WH _Disp _WSoft _CBasin /'v —Lav � _Sh _DW _DF _San. Sewer —WC _FDr _SP _Ur _Storm Sewer —Sink _LTub _Eject _SS _Water Other FEES: Valuation $ � Q• Permit Fee Paid $ �D•�� 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 � ENT/OWN�R DATE ADDRESS TELEPHONE#