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HomeMy WebLinkAbout0032010-Plumbing (water heater) � CITY OF OSHKOSH N° 32010 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT �� - - - - - - - - - - - - - - - - - � - - - - � - -��..u��-� - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS PLAN NO. OWNER S� � DESIGNER USE/NATURE OF WORK r " ` / 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 � —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 $ �` � �f• � � Permit Fee Paid $ � a ' a � Park Dedication $ ISSUED BY � Date � '2` 8 � Z Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. , SIGNATURE � �i�"^''t� �� �8 Q �� AGENT/OWNER DAT ADDRESS TELEPHONE#