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Home My WebLink About0003921-Plumbing (water heater) � CITY OF OSHKOSH No 03921 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ; ADDRESS �b �� /� -�.� /�,��--� PLAN NO. OWNER `�,J �.�i7�� DESIGNER USE/NATURE OF WORK �i!/G)'� ��c�- 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 E��1iL-f —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��`L� Date Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. C�-------� � ----�-" � � �_-- SIGNATURE"G�, � `� - —__� �� 'i AGENT/OWNER DATE � � \ ADDRESS TELEPHONE N