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HomeMy WebLinkAbout0025841-Plumbing (water heater) /� CITY OF OSHKOSH N° 25841 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ° ADDRESS ��� g � PLAN NO. OWNER � � DESIGNER USE/NATURE OF WORK �-a/«-.� a 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 � r'� � —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 $ 3 �'� d e Permit Fee Paid $ C o t 6 � Park Dedication $ ISSUED BY �� ���'� Date �`� �l6 _�� FinaVO.P. In the performance is work I agree to perform all work pursuant to rules governing the described construction. SIGNATU ��-�I� -il/ . AGENT/OWNE � DATE � ADDRESS �� ���-<�� / � TELEPHONE N ��