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Home My WebLink About0002792-Plumbing (water heater) n CITY OF OSHKOSH N° 02792 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �,.SIGN ❑ 20NING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS S�"'�"7�'�N--1,�� (��Ls�'/�'�-�.-� pLqN NO. OWNER �� l �- Y�� J DESIGNER USE/NATURE OF WORK_� ' � i�--�i �� ,�,��/ . � . �-l�-�"� / -�-:�L�c�(� �_ ``V BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Neat ❑ 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 L ��--�-�-� ��'��r —BT �WH _Disp —WSoft —CBasin —Lav _Sh _DW _DF —San. Sewer i —WC _FDr _SP —Ur _Storm Sewer � t —Sink _LTub —Eject SS —Water Other � � FEES: Valuation $ �� Permit Fee Paid $ Park Dedication $ ISSUED BY_�/�/��'c�r-� Date Final/O.P. In the performance this work I agree to perform all work pursuant to rules governing the described construction. � SIGNATURE� � w-�� AGENT/OWNER DATE ADDRESS TELEPHONE# '