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Home My WebLink About0016959-Plumbing (water heater) � CITY OF OSHKOSH N°_ 16959 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �`��C�� PLAN NO. � � OWNER � /� C /'YI//-G DESIGNER � USE/NATURE OF WORK ��-�'C �'� �<C'�� 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 WSoft —CBasin —Lav —Sh DW —DF San. Sewer —WC —FDr _SP —Ur Storm Sewer —Sink —LTub —Eject —SS —Water Other / � oa FEES: Valuation $ � Permit Fee Paid $�� Park Dedication $ ISSUED BY Date � � �� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � � ��Z-Jd� : AGENT/O NER �TE � � ADDRESS TELEPHONE#