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Home My WebLink About0020996-Plumbing (water heater) � _ CITY OF OSHKOSH N° 20996 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ,�SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS `u� �' �"Q'"`' PLAN NO. OWNER � � I DESIGNER USE/NATURE OF WORK � ��/��ti 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 Y 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 $ �5��'��' Permit Fee Paid $ �� ' � � Park Dedication $ ISSUED BY � �u��i Date FO �� g d Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. C � �� SIGNATURE "� � - � � � AGENT/O R D T r ADDRESS TELEPHONE#