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0033202-Plumbing (water heater)
. �� CITY OF OSHKOSH N°- 33202 � PERMIT - APPL�ICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - -� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS '���� ' `�' �--`��`T"�"�""`'�` PLAN NO. OWNER Q-�s"�-"'°' I7 / y' . 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 ❑ 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 L� —Lav —Sh —DW —DF —San. Sewer —WC —FDr _SP —Ur —Storm Sewer —Sink —LTub —Eject —SS —Water Other O , pd FEES: Valuation $ �C'a �� a Permit Fee Paid $ � Park Dedication $ ISSUED BY � Date � �°2 � ��—� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE Q � ����� � AGENT/OWNER DATE ADDRESS ' °'� ��� `S� �/n —D�lJ� TELEPHONE N