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HomeMy WebLinkAbout0016340-Plumbing (water heater) � CITY OF OSHKOSH N°_ 16340 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �/ � � ��'P�Ca1�Ll�� PLAN NO. OWNER � �• / �'`JC%C�I/'S'(�L DESIGNER USE/NATURE OF WORK �!^C���� t' 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 $�� Permit Fee Paid $ �� � Park Dedication $ ISSUED BY��� �a'r!"�� Date /�—rT-� FinaVO.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE NER DATE ADDRESS ��'��,1_l TELEPHONE# �