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0035271-Plumbing (water heater)
_ �`� CITY OF OSHKOSH N° 35271 n PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��� �jA �U A � PLAN NO. OWNER—_T l'Y� ��YQ��/{1A, DESIGNER USE/NATURE OF WORK �.�� l.U7V 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 �Y�G-GY� —BT � WH _Disp WSoft —CBasin —Lav _Sh _DW DF —San. Sewer —WC —FDr SP _Ur Storm Sewer Sink _LTub _Eject —SS —Water Other 60 ot� FEES: Valuation $ ��� - Permit Fee Paid $ 1�• Park Dedication $ ISSUED BY /�1� �P� �C) �.(�.( �� :"�"�1I Date Final/O.P. 7f� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ` ADDRESS TELEPHONE#