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HomeMy WebLinkAbout0000019-Plumbing (water heater) � _ CITY OF OSHKOSH No _ 00019 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � � ��/ � PLAN NO. OWNER / "�"J' ,�E'-/7 h 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 ❑ Fuei/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 c � FEES: Valuation $ ermit Fee Paid $ `)<�a Park Dedication $ ISSUED BY Date �/S /� Final/O.P. 7 �� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. , �,T / SIGNATURE • � ��� �' �' �`� AGENT/OWNER DATE ADDRESS TELEPHONE#