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Home My WebLink About0017774-Plumbing (water heater) n CITY OF OSHKOSH N°_ 17774 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �3-Z �i'� �� PLAN NO. OWNER � ��— � DESIGNER USE/NATURE OF WORK �� ('.��t�— ' 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 PLl1MBWC� C'ONTRACTOR ��,� GY��'� BT �WH Disp WSoft CBasin —Lav —Sh —DW —DF San. Sewer —WC FDr —SP Ur —Storm Sewer —Sink LTub —Eject —SS Water Other °° l °� FEES: Valuation $ Permit Fee Paid $ U Park Dedication $ ISSUED BY Date�/ r�� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ENT/OWNEFi DATE ADDRESS TELEPHONE#