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Home My WebLink About0038039-Plumbing (water heater) �� : /� CITY OF OSHKOSH N°- 38039 `'' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS -�� ` � �� PLAN NO. OWNER '�-r v'� �l� C�7�i�G-�� -� DESIGNER / J USE/NATURE OF WORK -Q- �/ 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 �i� : —Lav —Sh _DW _DF —San. Sewer —WC _FDr —SP —Ur —Storm Sewer —Sink _LTub _Eject —SS —Water Other FEES: Valuation $ 3 � 3 � � 8 Permit Fee Paid $ �� - � d � Park Dedication $ ISSUED BY �% Date � l�O Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE��"�-��iui�•-- a— !6� s7 AGENT/OWNER DATE ADDRESS I/��h CO�f L,-, �,3%,�Q/(9 TELEPHONE#