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0038280-Plumbing (water heater)
��� /� CITY OF OSHKOSH N° 38280 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - ��c� � , � : ADDRESS G 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 �' FueUSystem Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR �i / �/ —BT r WH Disp —WSoft —CBasin � —Lav —Sh _DW _DF —San. Sewer —WC _FDr _SP —Ur —Storm Sewer —Sink _LTub _Eject —SS —Water Other FEES: Valuation $ � � � � C'C' Permit Fee Paid $ °� ` � � � 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 � � Cl ` /OWNER` D E ADDRESS TELEPHONE#