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0016343-Plumbing (water heater)
� CITY OF OSHKOSH N°_ 16343 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS 7�� (/SL�?�'� /��� PLAN NO. OWNER �• tT�C��tL—�,� DESIGNER USE/NATURE OF WORK � BUILDING CONT'RACTOR 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 � � FEES: Valuation $ Permit Fee Paid $ �U� Park Dedication $ ISSUED BY Date 1/ � - v� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE U� A T/OWNER DATE -� ADDRESS TELEPHONE# .