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0016989-Plumbing (water heater)
� CITY OF OSHKOSH N°_ 16989 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� �/��=/�,. PLAN NO. OWNER �G'[�t/'�° /L�°/7�/�/ 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 ❑ FueUSystem Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PI UMRING C�nNTRAC'T(�R �— —BT �WH —Disp —WSoft —CBasin _Lav Sh —DW —DF —San. Sewer —WC —FDr —SP —Ur Storm Sewer —Sink —LTub Eject SS —Water Other � v!J ` ciD FEES: Valuation $;��� Permit Fee Paid $ / Q Park Dedication $ ISSUED BY Date / �-Z ^,��� Final/O.P. In the performa e of thi wor e perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE � ADDRESS TELEPHONE#