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0028702-Plumbing (water heater)
n CITY OF OSHKOSH N° 28��2 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG [� SIGN ❑ ZONING FIOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - �- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS __ -3� w. / � �' A�l PLAN NO. OW N E R l�/t.�s.S�� ��p,rs�r�.c� DESIGNER USE/NATURE OF WORK �Z�'� L� �I-�' 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 �)!'t�rrt,-'rr�rta ��P�-c —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 $ � S�( L�j Permit Fee Paid $ �U � � Park Dedication $ ISSUED BY �� Date S�� 6�S"z-- Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �.� SIGNATURE ' �/ GENT/O DATE � ADDRESS TELEPHONE# �