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HomeMy WebLinkAbout0003298-Plumbing (water heater) /� CITY OF OSHKOSH No 03298 `' PERMIT — APPLICATION AND RECORD - TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � /� l.!/ �`f� PLAN NO. OWNER �`�"s � ��f�'i �--� 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 C�NTRACTnR(�,�L� /c'� BT �WH _Disp _WSoft —CBasin Lav —Sh _DW _DF _San. Sewer —WC _FDr —SP Ur —Storm Sewer —Sink _LTub Eject —SS —Water Other ��� �_ FEES: Valuation $�� ermit Fee Paid $�� Park Dedication $ ISSUED BY � d� Date �-j Final/O.P. In the performance of this work I agree to perform atl work pursuant to rules governing the described construction. SIGNATURE ;� AGENT/OWNER DATE ADDRESS TELEPHONE#