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HomeMy WebLinkAbout0010729-Plumbing (water heater) � CITY OF OSHKOSH No 10729 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG,� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � PLAN NO. OWNER � DESIGNER USE/NATURE OF WORK � � ���+_G�I�C 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 PLUM8ING C(�NTRACT(�R /C��G-- 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 $ � P it Fee Paid $�.� `'� Park Dedication $ ISSUED BY Date /v y� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �� SIGNATURE l�-������ • � AGENT/OWNER DATE ADDRESS TEIEPHONE#