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Home My WebLink About0012480-Plumbing (water heater) � � _ CITY OF OSHKOSH RD N� 12480 PERMIT APPLICATION AND RECO TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� 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 PI l IMRWC=, C'(�NTRA(�TnR��' C-'�--- —BT �WH —Disp —WSoft CBasin —Lav —Sh —DW —DF —San. Sewer —WC _FDr —SP —Ur —Storm Sewer —Sink —LTub —Eject —SS —Water Other a4�--� � FEES: Valuation $ � Permit Fee Paid $ �b Park Dedication $ ISSUED BY Date �` �—�9 Final/O.P. In the performance of this ork agree to r work pursuant to rules governing the described construction. �, SIGNATURE ' AGENT/O DATE ADDRESS TELEPHONE N