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HomeMy WebLinkAbout0020863-Plumbing (water heater) � _ CITY OF OSHKOSH N° 20863 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ����b�ly�� PLAN NO. OWNER �� ,�ll ?�s���-;�-r�'/� DESIGNER USE/NATURE OF WORK 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 �C�l��s BT �WH _Disp WSoft CBasin �� , Lav —Sh _DW DF San. Sewer _WC —FDr —SP —Ur —Storm Sewer —Sink LTub Eject SS Water Other � o-� � FEES: Valuation $ ,�� Permit Fee Paid $ �o Park Dedication $ ISSUED BY � /"�L�� Date C �—�,�` d Final/O.P. I erformance this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ��� � AGENT/OWNER DATE ADDRESS TELEPHONE#