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0033376-Plumbing (water heater)
�// /, CITY OF OSHKOSH N° 33376 `' 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 PL11M61NG CnNTRACTOR �� �'r���''`-- _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 $ � �c'�^ � Permit Fee Paid $ l � ` � � Park Dedication $ ISSUED BY � Date �- � J�-3 Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described const�uction. SIGNATURE i':��51 /h-� "7 ' �- �� � AGENT/OWNER DATE ADDRESS l�`"l/ f, � ��� r�J��� �S /� : TELEPHONE# .