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Home My WebLink About0040745-Plumbing (water heater) s�/ � CITY OF OSHKOSH N° 40745 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN [] ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS <�l� ��1��-� `fC�� PLAN NO. OWNER �m�� r r�� DESIGNER USE/NATURE OF WORK��U �� 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 Fi�ures Switches Receptacles Circuits PLUMBING CONTRACTOR s � _BT �WH _Disp —WSoft —CBasin �i�� . _Lav —Sh _DW —DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer —Sink —LTub _Eject —SS —Water Other / FEES: Valuation $ � Permit Fee Paid $ � ark 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� ' A NT/OWNER DATE ADDRESS TELEPHONE N