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Home My WebLink About0002714-Plumbing (water heater) n _ CITY OF OSHKOSH D No _ 02714 PERMIT APPLICATION AND RECOR TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � �� l�� PLAN NO. /f� ` OWNER /U'��Y'Y?�t ,� /.�-.��/_ DESIGNER USE/NATURE OF WORK �`�-�-r'� �,r�-'L .�-� ��E � �—� 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 —Disp — Soft —CBasin —Lav _Sh —DW —DF —San. Sewer —WC _FDr —SP —Ur Storm Sewer —Sink —LTub —Eject —SS —Water Other / : FEES: Valuation $ 'Q d� Permit Fee Paid $ �� Park Dedication $ ISSUED BY n��- Date j -�3 Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ' " ' AGENT/ NE DATE ADDRESS TELEPHONE#