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Home My WebLink About0028901-Plumbing (water heater) n CITY OF OSHKOSH N° 28901 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �a � � � �`'``� "S7 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 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 $ �4� �� Permit Fee Paid $ l�- � � 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 �l ^ ."�= �� 1'`� — ENT/OWNER �' DATE �, ADDRESS TELEPHONE#