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HomeMy WebLinkAbout0007921-Plumbing (water heater) /� CITY OF OSHKOSH N° 07921 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -G� - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ~- PLAN N�. � OWNER �'�_�" `° L -�-`P S DESIGNER USE/NATURE OF WORK ��' � � BUILDING CONT'RACTOR � � Size Sq. Ft. # Rooms # Stories Height — Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR € � Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S i ELECTRIC CONTRACTOR s Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR �1� —BT �WH _Disp —WSoft —CBasin —Lav —Sh _DW —DF —San. Sewer —WC _FDr _SP —Ur —Storm Sewer —Sink _LTub _Eject SS —Water Other r FEES: Valuation $ � Permit Fee Paid $ Park Dedication $ ISSUED BY Date � Final/O.P. In the performance of this wo agree to perform all work pursuant to rules governing the described construction. SIGNATURE ` S 'a- � � AGENT/OW ER DATE ADDRESS TELEPHONE# . e