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HomeMy WebLinkAbout0031003-Plumbing (water heater) � � CITY OF OSHKOSH N°_ 31003 � � PERMIT - APPI�ICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - -9��_- - - - - - - -�� - -��-�- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK � � BUILDING CONTRACTOR ; � Size Sq. Ft. # Rooms # Stories Height � Foundation Class of Const. Occupancy Permit ? k € f } � /, HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S f � E � ELECTRIC CONTRACTOR f Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps r Fixtures Switches Receptacles Circuits ; PLUMBING CONTRACTOR �� k —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 $ T" � � � � � Permit Fee Paid $ �d - � C Park Dedication $ ISSUED BY � Date 1 � '�� —/ �—Final/O.P. � In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ' i SIGNATURE � �� AGENT/OWNER TE i ADDRESS TELEPHONE N