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Home My WebLink About0038108-Plumbing (water heater) �� CITY OF OSHKOSH N° 38108 `' PERMIT - APPLICATION AND RECORD ' TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �-�� / / r PLAN NO. OWNER 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 ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR —BT �WH — isp —WSoft —CBasin i�� —Lav _Sh _DW _DF _San. Sewer —WC _FDr _SP _Ur _Storm Sewer —Sink _LTub _Eject _SS _Water Other FEES: Valuation $ �� Permit Fee Paid $ l� � � a Park Dedication $ ISSUED BY Date Z �� Final/O.P. In the performance of this work I agree to perform al� work pursuant to rules governing the described construction. SIGNATURE f �,�. G�.q.Z� ,�C �/f� q AGENT/OWNER • ` �t� DATE ADDRESS I Z2� P�L..I' �r �3S L►?�f 8 TELEPHONE# '