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Home My WebLink About1986-Plumbing (water heater) � _ CITY OF OSHKOSH No _ 01768 : PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - , ADDRESS , s' PLAN NO. OWNER ��j,�;, �Y'K C�v!_ DESIGNER USE/NATURE OF WORK `� � Gv' 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 i FEES: Valuation $ �� rmit Fee Paid $ '2' Park Dedication $ ISSUED BY ��6 Date l� Final/O.P. In the performance of his work I ee' e m all work pursuant to rules governing the described construction. SIGNATURE f AGENT/OWNER DATE ADDRESS TELEPHONE#